Low
$1
Average
$119
Median
$106
High
$338
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
131 hospitals; the 90th percentile is 2.5× 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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157 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 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $116 | $116 | — | — | 85–94 | $116 – $116 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $86 | $86 | — | — | 51 | $86 – $86 |
| 3 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $115 | $115 | — | — | 12 | $115 – $115 |
| 4 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $111 | $111 | — | — | 3–30 | $111 – $111 |
| 5 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $337 | $337 | $47 | 14% | 2–20 | $291 – $384 |
| 6 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $337 | $337 | $47 | 14% | 2–20 | $291 – $384 |
| 7 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $188 | $188 | — | — | 2–20 | $188 – $188 |
| 8 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both | 1 | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 9 | Mount Carmel St Ann's Lewis Center, OH professional · fee schedule · both | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 10 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $213 | $213 | — | — | 1–10 | $213 – $213 |
| 11 | ONEIDA HEALTH ONEIDA, NY fee schedule · outpatient | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 12 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $91 | $91 | — | — | 1–10 | $91 – $91 |
| 13 | Samaritan Hospital Troy, NY professional · fee schedule · outpatient | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 14 | St Peters Hospital Albany, NY professional · fee schedule · both | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 15 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 1 | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $94 | $95 | $16 | 17% | — | $74 – $117 |
| 17 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 18 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 19 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 20 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 21 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 22 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 23 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 24 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 25 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
← Payers reporting CPT 99396 · Snapshot 20261111T120946Z-9134e7f7