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
IN-111 WBC DX PER DOSE
Low
$780
Average
$2.8k
Median
$1.1k
High
$14.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
97 hospitals; the 90th percentile is 5.8× 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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106 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 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $4.2k | $4.2k | $3.2k | 76% | — | $1.0k – $7.4k |
| 6 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | CentraState Medical Center Freehold Township, NJ other · both | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 15 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $980 | $980 | — | — | — | $980 – $980 |
| 16 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $980 | $980 | — | — | — | $980 – $980 |
| 17 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 18 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 19 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $980 | $980 | — | — | — | $980 – $980 |
| 21 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 22 | Hackettstown Medical Center Hackettstown, NJ other · both | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 24 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 25 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
← Payers reporting HCPCS A9570 · Snapshot 20261111T120946Z-9134e7f7