HCPCS C6058
Low
$194
Average
$194
Median
$194
High
$194
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1 hospital rate
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 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
← Payers reporting HCPCS C6058 · Snapshot 20261113T090226Z-3ce6c0b8