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
HC Drug Ptreat Ser Ab ID Ea
Low
$0
Average
$349
Median
$392
High
$3.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
128 hospitals; the 90th percentile is 13.6× 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.
Filter by billing methodology
Filter by billing class
140 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $3.0k | $3.0k | $2.7k | 90% | — | $307 – $5.7k |
| 2 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Ascension Providence Waco, TX other · inpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 4 | Ascension Providence Waco, TX other · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 5 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Ascension Seton Austin, TX other · inpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Ascension Seton Austin, TX other · inpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 10 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 11 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 12 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 14 | Ascension Seton Bastrop, TX other · inpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 15 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 16 | Ascension Seton Austin, TX other · inpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 17 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 18 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $416 | $416 | — | — | — | $416 – $416 |
| 20 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 21 | Benefis Community Hospitals, Inc Choteau, MT other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $449 | $449 | — | — | — | $449 – $449 |
| 23 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $384 | $384 | — | — | — | $384 – $384 |
| 24 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $434 | $434 | — | — | — | $434 – $434 |
| 25 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $159 | $159 | — | — | — | $159 – $159 |
← Payers reporting CPT 86975 · Snapshot 20261112T181611Z-3fa9fb76