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
HB MOD SED < 5YRS 15 MIN
Low
$12
Average
$470
Median
$77
High
$25.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
88 hospitals; the 90th percentile is 22.6× 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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105 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 | $35 | $36 | $16 | 43% | — | $19 – $56 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 9 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $384 | $430 | $136 | 32% | — | $325 – $711 |
| 11 | Aspirus Plover Hospital Stevens Point, WI fee schedule · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $317 | $317 | $6 | 2% | — | $311 – $323 |
| 13 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $308 | $308 | $6 | 2% | — | $302 – $314 |
| 14 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $308 | $308 | $6 | 2% | — | $302 – $314 |
| 15 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 16 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $588 | $588 | — | — | — | $588 – $588 |
| 17 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 18 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $155 | $155 | $95 | 61% | — | $60 – $250 |
| 19 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $15 | 39% | — | $24 – $54 |
| 20 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $39 | $41 | $18 | 45% | — | $21 – $63 |
| 21 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $170 | $170 | — | — | — | $170 – $170 |
| 22 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 24 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 25 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
← Payers reporting CPT 99151 · Snapshot 20261112T124536Z-e251e855