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 IV Therpy Seq Up to 1 Hr
Low
$0
Average
$110
Median
$71
High
$1.7k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
352 hospitals; the 90th percentile is 2.3× 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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389 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 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $76 | $76 | — | — | 47 | $76 – $76 |
| 2 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $71 | $71 | — | — | 43 | $71 – $71 |
| 3 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $71 | $71 | — | — | 32 | $71 – $71 |
| 4 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $62 | $62 | — | — | 31 | $62 – $62 |
| 5 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $62 | $62 | — | — | 31 | $62 – $62 |
| 6 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $71 | $71 | — | — | 30 | $71 – $71 |
| 7 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $71 | $71 | — | — | 30 | $71 – $71 |
| 8 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $66 | $66 | — | — | 26 | $66 – $66 |
| 9 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $66 | $66 | — | — | 26 | $66 – $66 |
| 10 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $68 | $68 | — | — | 21 | $68 – $68 |
| 11 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $68 | $68 | — | — | 21 | $68 – $68 |
| 12 | Massachusetts General Hospital Boston, MA other · both | 1 | $80 | $80 | — | — | 13 | $80 – $80 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $65 | $65 | — | — | 13 | $65 – $65 |
| 14 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $25 | $25 | — | — | 12–21 | $25 – $25 |
| 15 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $67 | $67 | — | — | 12 | $67 – $67 |
| 16 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $67 | $67 | — | — | 12 | $67 – $67 |
| 17 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $122 | $122 | — | — | 4–40 | $122 – $122 |
| 18 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · other · outpatient | 1 | $47 | $47 | — | — | 3–30 | $47 – $47 |
| 19 | Lompoc Valley Medical Center Lompoc, CA fee schedule · outpatient | 1 | $161 | $161 | — | — | 2–20 | $161 – $161 |
| 20 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 21 | Lowell General Hospital Lowell, MA other · both | 1 | $329 | $329 | — | — | 1–10 | $329 – $329 |
| 22 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 23 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · both | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 24 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $65 | $65 | $2 | 3% | 1–10 | $63 – $67 |
| 25 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $66 | $66 | — | — | 1–10 | $66 – $66 |
← Payers reporting CPT 96367 · Snapshot 20261111T120946Z-9134e7f7