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 PATENCY CAPSULE PROC
Low
$46
Average
$300
Median
$145
High
$2.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
100 hospitals; the 90th percentile is 1.6× 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.
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112 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | $2.8k | 95% | — | $134 – $5.7k |
| 3 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 4 | Ascension Providence Waco, TX other · inpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 5 | Ascension Providence Waco, TX other · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 7 | Ascension Seton Austin, TX other · inpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 10 | Ascension Seton Austin, TX other · inpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 11 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 12 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 13 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 14 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 15 | Ascension Seton Bastrop, TX other · inpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 16 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 17 | Ascension Seton Austin, TX other · inpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 18 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · both | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 19 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 20 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 21 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 22 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 23 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 24 | Centinela Hospital Medical Center Inglewood, CA fee schedule · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 25 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $182 | $182 | — | — | — | $182 – $182 |
← Payers reporting CPT 91299 · Snapshot 20261111T120946Z-9134e7f7