Low
$29
Average
$157
Median
$86
High
$529
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 3.9× 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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16 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 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 3 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 6 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 7 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 8 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 10 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 11 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 12 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 13 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $550 | $529 | $36 | 7% | — | $467 – $550 |
| 14 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 15 | Mercy Rehabilitation Hospital South Louis, MO case rate · inpatient | 1 | $305 | $305 | $25 | 8% | — | $278 – $331 |
| 16 | Mercy Rehabilitation Hospital St. Louis Chesterfield, MO case rate · inpatient | 1 | $299 | $302 | $29 | 9% | — | $273 – $338 |
← Payers reporting CPT 97003 · Snapshot 20261112T124536Z-e251e855