CPT 95131
Low
$90
Average
$96
Median
$90
High
$109
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18 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $102 | $102 | $8 | 8% | — | $94 – $110 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 4 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 5 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 8 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 9 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 10 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 11 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 12 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 13 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 14 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 15 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 16 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 17 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 18 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
← Payers reporting CPT 95131 · Snapshot 20261113T090226Z-3ce6c0b8