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
DEVICE MYOSURE TIS REMOVAL XL
Low
$490
Average
$2.7k
Median
$2.2k
High
$10.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 5.1× 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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32 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 | $718 | $718 | — | — | — | $718 – $718 |
| 2 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 3 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 5 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | $308 | 9% | — | $3.1k – $3.7k |
| 6 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.3k | $1.5k | 67% | — | $1.0k – $6.2k |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $2.1k | $1.6k | 76% | — | $863 – $6.1k |
| 9 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $2.1k | $608 | 29% | — | $1.4k – $3.4k |
| 10 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 11 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 12 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 13 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.8k | $443 | 25% | — | $1.2k – $2.3k |
| 14 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.2k | $524 | 24% | — | $1.5k – $2.8k |
| 15 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.5k | $404 | 26% | — | $994 – $2.0k |
| 16 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.7k | $444 | 27% | — | $1.1k – $2.1k |
| 17 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.2k | $625 | 28% | — | $1.4k – $2.9k |
| 18 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.3k | $637 | 28% | — | $1.4k – $3.0k |
| 19 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $328 | 24% | — | $929 – $1.7k |
| 20 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 22 | Newton Medical Center Newton, NJ other · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 23 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $729 | $681 | $198 | 29% | — | $380 – $1.1k |
| 24 | Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
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