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
Med Serv Eve/Wkend/Holid
Low
$16
Average
$1.5k
Median
$45
High
$25.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 12.1× 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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21 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $53 | $53 | $4 | 8% | — | $49 – $57 |
| 2 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 3 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 5 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 6 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $59 | $59 | $5 | 8% | — | $54 – $64 |
| 8 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 9 | GLENS FALLS HOSPITAL INC Falls, NY professional · fee schedule · outpatient | 4 | $53 | $53 | $4 | 8% | — | $49 – $57 |
| 10 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 11 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 12 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 13 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 14 | Saratoga Hospital Saratoga Springs, NY professional · fee schedule · outpatient | 4 | $53 | $53 | $4 | 8% | — | $49 – $57 |
| 15 | St Anthony Community Hospital Warwick, NY facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 16 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 17 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · inpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 18 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 19 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI professional · fee schedule · inpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 20 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 21 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
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