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 SEMEN COUNT & MOTILITY DONOR WO PREWASH
Low
$6
Average
$16
Median
$9
High
$143
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
106 hospitals; the 90th percentile is 5.2× 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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116 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 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $143 | $143 | — | — | 1–10 | $143 – $143 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Ascension Providence Waco, TX other · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Ascension Providence Waco, TX other · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Ascension Seton Austin, TX other · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Ascension Seton Austin, TX other · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Ascension Seton Bastrop, TX other · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Ascension Seton Austin, TX other · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $59 | $71 | $22 | 30% | — | $59 – $109 |
| 12 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 14 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 15 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 18 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 21 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 22 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | Durant HMA LLC Durant, OK facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting CPT 89310 · Snapshot 20261112T124536Z-e251e855