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
facility
Low
$5
Average
$290
Median
$329
High
$4.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
320 hospitals; the 90th percentile is 12.8× 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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348 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 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $311 | $311 | — | — | 67 | $311 – $311 |
| 2 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $311 | $311 | — | — | 67 | $311 – $311 |
| 3 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $81 | $70 | $22 | 32% | 17 | $21 – $81 |
| 4 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 5 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $456 | $456 | — | — | 1–10 | $456 – $456 |
| 6 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $356 | $356 | — | — | 1–10 | $356 – $356 |
| 7 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $325 | $325 | — | — | 1–10 | $325 – $325 |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $327 | $327 | — | — | — | $327 – $327 |
| 9 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 9 | $6 | $6 | $0 | 8% | — | $5 – $6 |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 12 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $3.0k | $3.0k | $2.7k | 91% | — | $277 – $5.7k |
| 13 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 14 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 15 | Ascension Providence Waco, TX other · inpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 16 | Ascension Providence Waco, TX other · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 17 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 18 | Ascension Seton Austin, TX other · inpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 19 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 20 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 21 | Ascension Seton Austin, TX other · inpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 22 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 23 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 24 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 25 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
← Payers reporting CPT 86902 · Snapshot 20261111T120946Z-9134e7f7