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
Other therapeutic procedure
Low
$17
Average
$1.5k
Median
$54
High
$37.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 7.7× 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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28 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 | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $147 | $147 | $8 | 5% | — | $139 – $154 |
| 3 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 4 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $209 | $216 | $13 | 6% | — | $209 – $241 |
| 5 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 6 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 7 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 8 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 9 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 10 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 11 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $40 | $40 | $0 | 1% | — | $40 – $40 |
| 12 | Mercy Hospital Columbus Columbus, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 13 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 14 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 15 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 16 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $22 | $5 | 24% | — | $15 – $26 |
| 18 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $6 | 28% | — | $14 – $25 |
| 19 | Mercy Hospital Waldron Waldron, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | $5 | 28% | — | $14 – $24 |
| 20 | Mercy Hospital Watonga Inc Watonga, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 21 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 22 | Mercy Rehabilitation Hospital South Louis, MO case rate · inpatient | 1 | $103 | $103 | $26 | 26% | — | $76 – $129 |
| 23 | Mercy Rehabilitation Hospital St. Louis Chesterfield, MO case rate · inpatient | 1 | $101 | $101 | $26 | 26% | — | $75 – $126 |
| 24 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 25 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
← Payers reporting CPT 97139 · Snapshot 20261112T181611Z-3fa9fb76