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 Chemo Adm IV Ea Add Hr
Low
$23
Average
$91
Median
$71
High
$1.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
309 hospitals; the 90th percentile is 2.9× 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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345 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $88 | $88 | $4 | 4% | 96 | $84 – $92 |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $66 | $66 | — | — | 86 | $66 – $66 |
| 3 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $66 | $66 | — | — | 86 | $66 – $66 |
| 4 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $67 | $67 | — | — | 66 | $67 – $67 |
| 5 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $67 | $67 | — | — | 66 | $67 – $67 |
| 6 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $62 | $62 | — | — | 58 | $62 – $62 |
| 7 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $62 | $62 | — | — | 58 | $62 – $62 |
| 8 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $71 | $71 | — | — | 56 | $71 – $71 |
| 9 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $71 | $71 | — | — | 56 | $71 – $71 |
| 10 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $74 | $74 | — | — | 36 | $74 – $74 |
| 11 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $76 | $76 | — | — | 31 | $76 – $76 |
| 12 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $71 | $71 | — | — | 28 | $71 – $71 |
| 13 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $90 | $90 | — | — | 23 | $90 – $90 |
| 14 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $65 | $65 | — | — | 22 | $65 – $65 |
| 15 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $66 | $66 | — | — | 20 | $66 – $66 |
| 16 | Massachusetts General Hospital Boston, MA other · both | 1 | $80 | $80 | — | — | 17 | $80 – $80 |
| 17 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $71 | $71 | — | — | 11 | $71 – $71 |
| 18 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $67 | $67 | — | — | 11 | $67 – $67 |
| 19 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $100 | $100 | — | — | 2–20 | $100 – $100 |
| 20 | St. Charles Bend Bend, OR other · both | 1 | $80 | $80 | — | — | 2–20 | $80 – $80 |
| 21 | St. Charles Redmond Redmond, OR other · both | 1 | $80 | $80 | — | — | 2–20 | $80 – $80 |
| 22 | Lowell General Hospital Lowell, MA other · both | 1 | $277 | $277 | — | — | 1–10 | $277 – $277 |
| 23 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | 1–10 | $141 – $141 |
| 24 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | — | — | 1–10 | $203 – $203 |
| 25 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $68 | $68 | — | — | 1–10 | $68 – $68 |
← Payers reporting CPT 96415 · Snapshot 20261111T120946Z-9134e7f7