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
HC WORK RLTD/MED DISABILITY EXAM
Low
$0
Average
$2.8k
Median
$124
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 9.1× 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.
Filter by billing methodology
Filter by billing class
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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 3 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $159 | $159 | $9 | 6% | — | $149 – $168 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 6 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $35 | $33 | $15 | 45% | — | $14 – $49 |
| 7 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 8 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 9 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $37 | $38 | $1 | 3% | — | $37 – $40 |
| 10 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $261 | $261 | $8 | 3% | — | $253 – $269 |
| 11 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 13 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 14 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 15 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 16 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 17 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 18 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $636 | $636 | — | — | — | $636 – $636 |
| 19 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 20 | San Juan Hospital Spanish Valley, UT facility · fee schedule · both | 3 | $124 | $124 | — | — | — | $124 – $124 |
| 21 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $73 | $75 | $30 | 40% | — | $39 – $112 |
← Payers reporting CPT 99455 · Snapshot 20261112T181611Z-3fa9fb76