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
Refilling and Maintenance of Portable Pump
Low
$78
Average
$245
Median
$200
High
$3.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
182 hospitals; the 90th percentile is 1.8× 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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210 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 | $245 | $245 | $4 | 2% | 79 | $242 – $249 |
| 2 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $223 | $223 | $9 | 4% | 79 | $214 – $231 |
| 3 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $267 | $267 | — | — | 22 | $267 – $267 |
| 4 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $211 | $211 | — | — | 1–10 | $211 – $211 |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $192 | $192 | — | — | 1–10 | $192 – $192 |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $100 | $100 | $8 | 8% | — | $92 – $108 |
| 7 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 8 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 9 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 10 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 11 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 12 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 13 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 14 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 15 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 16 | Ascension Providence Waco, TX other · inpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 17 | Ascension Providence Waco, TX other · outpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 18 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 19 | Ascension Seton Austin, TX other · inpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 20 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 21 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 22 | Ascension Seton Austin, TX other · inpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 23 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 24 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 25 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
← Payers reporting CPT 96521 · Snapshot 20261111T120946Z-9134e7f7