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 MULT FAM GRP BHV TRAIN WO PT 1ST 60 MIN
Low
$15
Average
$21
Median
$21
High
$24
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 1.3× 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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30 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 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Ascension Providence Waco, TX other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Ascension Providence Waco, TX other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Ascension Seton Austin, TX other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Ascension Seton Austin, TX other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Ascension Seton Bastrop, TX other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Ascension Seton Austin, TX other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 12 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Henry Ford Health Township, MI other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 14 | Henry Ford Health Township, MI other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 15 | Henry Ford Health Detroit, MI other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Henry Ford Health Detroit, MI other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | Henry Ford Health Warren, MI other · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Henry Ford Health Warren, MI other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 20 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 21 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 22 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 25 | Presence Chicago Hospitals Network Chicago, IL other · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting CPT 96202 · Snapshot 20261113T090226Z-3ce6c0b8