Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HB Ref T3 Free
Low
$6
Average
$33
Median
$23
High
$574
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
202 hospitals; the 90th percentile is 5.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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234 hospital rates
iThe hospitals that file a Amerihealth Caritas rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $136 | — | — | 21 | $136 – $136 |
| 2 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $7 | $7 | — | — | 18 | $7 – $7 |
| 3 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $31 | $31 | — | — | 4–40 | $31 – $31 |
| 4 | Allen Parish Hospital District No 3 Kinder, LA facility · fee schedule · both | 1 | $13 | $13 | — | — | 2–20 | $13 – $13 |
| 5 | Pomerene Hospital Millersburg, OH other · both | 1 | $14 | $14 | — | — | 2–20 | $14 – $14 |
| 6 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $7 | $7 | — | — | 2–20 | $7 – $7 |
| 7 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 8 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $218 | $218 | — | — | 1–10 | $218 – $218 |
| 9 | Hospital Service District No 1 Parish of Avoyelles State of Louisiana Bunkie, LA percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 10 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 12 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 13 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 14 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 2 | $20 | $20 | $3 | 15% | — | $17 – $23 |
| 15 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 17 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 18 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 20 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 22 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 23 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 24 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 2 | $17 | $17 | $0 | 1% | — | $17 – $17 |
| 25 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 2 | $17 | $17 | $0 | 1% | — | $17 – $17 |
← Payers reporting CPT 84481 · Snapshot 20261111T120946Z-9134e7f7