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
PB HOSPITAL PRO FEE PR SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES
Low
$0
Average
$423
Median
$97
High
$25.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
79 hospitals; the 90th percentile is 3.0× 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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91 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 | $94 | $94 | $8 | 8% | — | $86 – $101 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 9 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $150 | $181 | $55 | 30% | — | $150 – $277 |
| 11 | Aspirus Medford Hospital Medford, WI fee schedule · both | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 12 | Aspirus Merrill Hospital Merrill, WI fee schedule · both | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 13 | Aspirus Stanley Hospital Stanley, WI fee schedule · both | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 14 | Benefis Community Hospitals, Inc Choteau, MT other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Benefis Peace Hospice Falls, MT percent of total billed charges · inpatientfrom % of charges | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 16 | Benefis Peace Hospice Falls, MT percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 17 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | $2 | 2% | — | $78 – $82 |
| 18 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $104 | $104 | $8 | 8% | — | $95 – $112 |
| 19 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 20 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 21 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 22 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 23 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 24 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $64 | $71 | $27 | 37% | — | $43 – $107 |
| 25 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
← Payers reporting CPT 99309 · Snapshot 20261111T120946Z-9134e7f7