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
PR CPTRZ OPH IMG PST SG RTA OCT
Low
$21
Average
$294
Median
$229
High
$2.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 2.5× 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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50 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 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Ascension Providence Waco, TX other · inpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 4 | Ascension Providence Waco, TX other · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 5 | Ascension Seton Austin, TX other · inpatient | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 6 | Ascension Seton Austin, TX other · inpatient | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 7 | Ascension Seton Bastrop, TX other · inpatient | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 8 | Ascension Seton Austin, TX other · inpatient | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 9 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 10 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 11 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 12 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $236 | $236 | $133 | 56% | — | $103 – $369 |
| 13 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 14 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 16 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 17 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 18 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 19 | Henry Ford Health Township, MI other · inpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 20 | Henry Ford Health Township, MI other · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 21 | Henry Ford Health Detroit, MI other · inpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 22 | Henry Ford Health Detroit, MI other · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 23 | Henry Ford Health Warren, MI other · inpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 24 | Henry Ford Health Warren, MI other · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 25 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · case rate · outpatient | 1 | $299 | $299 | — | — | — | $299 – $299 |
← Payers reporting CPT 92137 · Snapshot 20261112T181611Z-3fa9fb76