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
HB-Interstitial Lunar Ovoids and Guides (Ilo)
Low
$0
Average
$1.6k
Median
$159
High
$37.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 44.3× 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $52 | $115 | $89 | 78% | — | $52 – $241 |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $37.9k | $37.9k | — | — | — | $37.9k – $37.9k |
| 3 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 4 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 5 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 6 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $159 | $524 | $671 | 128% | — | $23 – $1.8k |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $117 | $430 | $563 | 131% | — | $17 – $1.5k |
| 10 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $60 | $60 | $2 | 3% | — | $58 – $62 |
| 11 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $53 | $47 | 87% | — | $17 – $119 |
| 12 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 13 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 14 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 15 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 16 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 17 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 18 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 19 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $13 | $11 | 88% | — | $4 – $30 |
| 20 | Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 21 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 22 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $137 | $137 | $99 | 72% | — | $39 – $236 |
| 23 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 24 | ST MARTIN HOSPITAL INC Breaux Bridge, LA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $9 | $8 | 87% | — | $3 – $20 |
| 25 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · other · outpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
← Payers reporting HCPCS C1715 · Snapshot 20261111T120946Z-9134e7f7