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
In111 capromab
Low
$651
Average
$4.7k
Median
$2.1k
High
$13.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 6.7× 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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36 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 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 3 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 4 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $651 | $651 | $10 | 1% | — | $641 – $660 |
| 7 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 11 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 12 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 13 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $4.7k | $4.7k | $140 | 3% | — | $4.6k – $4.9k |
| 14 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 20 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 21 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 22 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 23 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 24 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 25 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
← Payers reporting HCPCS A9507 · Snapshot 20261112T124536Z-e251e855