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
Grft- trnsmurl/trnsvens byps
Low
$5.7k
Average
$32.7k
Median
$20.9k
High
$88.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 5.2× 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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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 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $16.5k | $16.5k | $0 | 0% | — | $16.5k – $16.5k |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $88.5k | $88.5k | — | — | — | $88.5k – $88.5k |
| 3 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $23.3k | $23.3k | $1 | 0% | — | $23.3k – $23.3k |
| 4 | Jefferson County HMA LLC Jefferson City, TN facility · fee schedule · outpatient | 1 | $18.1k | $18.1k | $1 | 0% | — | $18.1k – $18.1k |
| 5 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 6 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $86.2k | $86.2k | — | — | — | $86.2k – $86.2k |
| 7 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $4.5k | $5.7k | $2.2k | 38% | — | $3.9k – $8.8k |
| 8 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $37.9k | $37.9k | — | — | — | $37.9k – $37.9k |
| 9 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 10 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $43.9k | $43.9k | — | — | — | $43.9k – $43.9k |
| 11 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $37.6k | $37.6k | — | — | — | $37.6k – $37.6k |
| 12 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $42.4k | $42.4k | — | — | — | $42.4k – $42.4k |
| 13 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $62.5k | $62.5k | — | — | — | $62.5k – $62.5k |
| 14 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $65.0k | $65.0k | — | — | — | $65.0k – $65.0k |
| 15 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $28.2k | $28.2k | — | — | — | $28.2k – $28.2k |
| 16 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $20.9k | $20.9k | — | — | — | $20.9k – $20.9k |
| 17 | Metro Knoxville HMA LLC Powell, TN facility · fee schedule · outpatient | 1 | $18.1k | $18.1k | $1 | 0% | — | $18.1k – $18.1k |
| 18 | Metro Knoxville HMA LLC Knoxville, TN facility · fee schedule · outpatient | 1 | $18.1k | $18.1k | $1 | 0% | — | $18.1k – $18.1k |
| 19 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $18.2k | $18.2k | — | — | — | $18.2k – $18.2k |
| 20 | Vicksburg Healthcare LLC Vicksburg, MS facility · fee schedule · outpatient | 1 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 21 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $18.2k | $18.2k | — | — | — | $18.2k – $18.2k |
← Payers reporting HCPCS C1604 · Snapshot 20261111T120946Z-9134e7f7