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
$39
Median
$17
High
$1.8k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
201 hospitals; the 90th percentile is 2.7× 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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213 hospital rates
iThe hospitals that file a Medicare 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 | CLEVELAND AREA HOSPITAL CLEVELAND, OK other · outpatient | 1 | $54 | $54 | — | — | 291 | $54 – $54 |
| 2 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $97 | $97 | $40 | 41% | 106 | $57 – $137 |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $17 | $17 | — | — | 89 | $17 – $17 |
| 4 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 84 | $107 – $107 |
| 5 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $13 | $13 | $4 | 31% | 75 | $9 – $17 |
| 6 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | 55 | $55 – $55 |
| 7 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $58 | $58 | — | — | 45 | $58 – $58 |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $17 | $17 | — | — | 43 | $17 – $17 |
| 9 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $100 | $100 | — | — | 43–52 | $100 – $100 |
| 10 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | 30 | $13 – $13 |
| 11 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $76 | $76 | — | — | 25 | $76 – $76 |
| 12 | Public Hospital District No 4 King County WA Snoqualmie, WA other · both | 1 | $63 | $63 | — | — | 23 | $63 – $63 |
| 13 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $17 | $17 | — | — | 21 | $17 – $17 |
| 14 | Pittsburg Hospital, LLC Pittsburg, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $82 | $82 | — | — | 17 | $82 – $82 |
| 15 | Hospital Development Co Spencer, WV percent of total billed charges · bothfrom % of charges | 1 | $89 | $89 | — | — | 13 | $89 – $89 |
| 16 | Lowell General Hospital Lowell, MA other · both | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 17 | Stephens County Hospital Toccoa, GA fee schedule · outpatient | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 18 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 4 | $17 | $17 | — | — | — | $17 – $17 |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | $6 | 20% | — | $23 – $35 |
| 21 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 24 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 25 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
← Payers reporting CPT 84481 · Snapshot 20261111T120946Z-9134e7f7