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
THERAPEUTIC PHLEBOTOMY- 4N
Low
$15
Average
$165
Median
$125
High
$3.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
323 hospitals; the 90th percentile is 1.9× 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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367 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 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $167 | $167 | — | — | 74 | $167 – $167 |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $150 | $150 | $2 | 1% | 36 | $148 – $153 |
| 3 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $140 | $140 | — | — | 26 | $140 – $140 |
| 4 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $276 | $276 | $134 | 49% | 24 | $142 – $410 |
| 5 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $138 | $138 | $4 | 3% | 14 | $134 – $142 |
| 6 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $120 | $120 | — | — | 13 | $120 – $120 |
| 7 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $131 | $131 | — | — | 11 | $131 – $131 |
| 8 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $131 | $131 | — | — | 11 | $131 – $131 |
| 9 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $129 | $129 | — | — | 3–30 | $129 – $129 |
| 10 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 11 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 12 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 13 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $166 | $166 | — | — | 1–10 | $166 – $166 |
| 14 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 15 | St. Charles Bend Bend, OR other · both | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 16 | St. Charles Bend Bend, OR other · outpatient | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 17 | St. Charles Redmond Redmond, OR other · both | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 18 | St. Charles Redmond Redmond, OR other · outpatient | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 19 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $135 | $135 | — | — | 1–10 | $135 – $135 |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $76 | $76 | $6 | 8% | — | $70 – $82 |
| 21 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 22 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 23 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 24 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 25 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
← Payers reporting CPT 99195 · Snapshot 20261111T120946Z-9134e7f7