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
Pfo Fon/Asd Closure W/Implant
Low
$417
Average
$18.3k
Median
$16.7k
High
$69.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
177 hospitals; the 90th percentile is 30.1× 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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204 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 other · both | 1 | $20.3k | $20.3k | — | — | 1–10 | $20.3k – $20.3k |
| 2 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · both | 1 | $15.7k | $15.7k | — | — | 1–10 | $15.7k – $15.7k |
| 3 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · outpatient | 1 | $15.7k | $15.7k | — | — | 1–10 | $15.7k – $15.7k |
| 4 | Massachusetts General Hospital Boston, MA other · both | 1 | $20.3k | $20.3k | — | — | 1–10 | $20.3k – $20.3k |
| 5 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $18.0k | $18.0k | — | — | 1–10 | $18.0k – $18.0k |
| 6 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $16.9k | $16.9k | — | — | 1–10 | $16.9k – $16.9k |
| 7 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $16.9k | $16.9k | — | — | 1–10 | $16.9k – $16.9k |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $16.6k | $16.6k | — | — | 1–10 | $16.6k – $16.6k |
| 9 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 10 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $812 | $812 | $66 | 8% | — | $746 – $878 |
| 11 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $906 | $906 | — | — | — | $906 – $906 |
| 12 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $906 | $906 | — | — | — | $906 – $906 |
| 13 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $906 | $906 | — | — | — | $906 – $906 |
| 14 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $906 | $906 | — | — | — | $906 – $906 |
| 15 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $906 | $906 | — | — | — | $906 – $906 |
| 16 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $906 | $906 | — | — | — | $906 – $906 |
| 17 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 18 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $997 | $997 | — | — | — | $997 – $997 |
| 19 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $50.4k | $50.4k | — | — | — | $50.4k – $50.4k |
| 20 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 21 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 22 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 23 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 24 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 25 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
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