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 SUP RC 274 A4565
Low
$0
Average
$129
Median
$11
High
$4.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 26.5× 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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56 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 | $39 | $44 | $14 | 32% | 6–60 | $33 – $73 |
| 2 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 10 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $4 | $4 | $1 | 26% | — | $3 – $5 |
| 11 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 15 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 16 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 17 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 18 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 19 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $7 | $176 | $317 | 180% | — | $7 – $791 |
| 21 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $146 | $264 | 181% | — | $5 – $660 |
| 22 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $26 | $33 | $10 | 31% | — | $26 – $49 |
| 23 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 24 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS A4565 · Snapshot 20261111T120946Z-9134e7f7