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
$1
Average
$50
Median
$23
High
$566
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
298 hospitals; the 90th percentile is 6.8× 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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351 hospital rates
iThe hospitals that file a Caresource 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 | Piedmont Atlanta Atlanta, GA fee schedule · both | 1 | $18 | $18 | — | — | 83 | $18 – $18 |
| 2 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 3 | $17 | $16 | $4 | 28% | 33 | $7 – $19 |
| 3 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $307 | $257 | $85 | 33% | 30 | $138 – $327 |
| 4 | Piedmont Athens Regional Athens, GA fee schedule · both | 1 | $18 | $18 | — | — | 23 | $18 – $18 |
| 5 | Piedmont Augusta Augusta, GA fee schedule · both | 1 | $18 | $18 | — | — | 15 | $18 – $18 |
| 6 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $18 | $18 | — | — | 12 | $18 – $18 |
| 7 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | 12 | $114 – $114 |
| 8 | Tanner Medical Center - Carrollton Carrollton, GA facility · other · outpatient | 1 | $17 | $17 | — | — | 3–30 | $17 – $17 |
| 9 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · other · outpatient | 1 | $17 | $17 | — | — | 3–30 | $17 – $17 |
| 10 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | — | — | 2–20 | $174 – $174 |
| 11 | Columbus Regional Hospital Columbus, IN fee schedule · both | 3 | $17 | $21 | $6 | 27% | 2–20 | $17 – $29 |
| 12 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 3 | $18 | $17 | $8 | 45% | 2–20 | $7 – $25 |
| 13 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 2–20 | $82 – $82 |
| 14 | SAINT JOSEPH HEALTH SYSTEM, INC Mt. Sterling, KY fee schedule · outpatient | 1 | $34 | $34 | — | — | 2–20 | $34 – $34 |
| 15 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | 2–20 | $88 – $88 |
| 16 | East Georgia Regional Medical Center LLC Statesboro, GA facility · other · outpatient | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 17 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 18 | Harrison Community Hospital, Inc. Cadiz, OH facility · other · outpatient | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 19 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $197 | $197 | — | — | 1–10 | $197 – $197 |
| 20 | Highland District Hospital Hillsboro, OH fee schedule · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 21 | Piedmont Cartersville Cartersville, GA fee schedule · both | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 22 | Piedmont Columbus Regional - Midtown Columbus, GA fee schedule · both | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 23 | Piedmont Fayette Fayetteville, GA fee schedule · both | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 24 | Piedmont Henry Stockbridge, GA fee schedule · both | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 25 | Piedmont Macon Macon, GA fee schedule · both | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
← Payers reporting CPT 84481 · Snapshot 20261111T120946Z-9134e7f7