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
A0425
Low
$6
Average
$15
Median
$9
High
$52
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 4.4× 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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29 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 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $33 | $40 | $12 | 30% | — | $33 – $61 |
| 2 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $41 | $41 | $8 | 20% | — | $33 – $49 |
| 9 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA fee schedule · both | 1 | $6 | $6 | $3 | 51% | — | $3 – $9 |
| 11 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA fee schedule · outpatient | 1 | $8 | $8 | $0 | 3% | — | $8 – $9 |
| 12 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $27 | $21 | $12 | 57% | — | $3 – $33 |
| 15 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 18 | Mercy Hospital Ada Inc Ada, OK facility · fee schedule · outpatient | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 19 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 21 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 22 | Mercy Love County Marietta, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting HCPCS A0425 · Snapshot 20261111T120946Z-9134e7f7