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
RSV
Low
$13
Average
$21
Median
$16
High
$83
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
117 hospitals; the 90th percentile is 3.7× 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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129 hospital rates
iThe hospitals that file a Tricare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Abington Memorial Hospital Abington, PA professional · fee schedule · both | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Ascension Providence Waco, TX other · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Ascension Providence Waco, TX other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Ascension Seton Austin, TX other · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Ascension Seton Austin, TX other · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Ascension Seton Bastrop, TX other · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 11 | Ascension Seton Austin, TX other · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 12 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both | 3 | $16 | $16 | — | — | — | $16 – $16 |
| 13 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 14 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 15 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 16 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 17 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 19 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 21 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 24 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 25 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
← Payers reporting CPT 86756 · Snapshot 20261112T181611Z-3fa9fb76