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
HC Sim Ang W/Prs Cath Rad Emb
Low
$10.0k
Average
$19.5k
Median
$11.2k
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 4.8× 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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31 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 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 3 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 4 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 5 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 6 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 7 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 8 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 9 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $25.3k | $25.3k | — | — | — | $25.3k – $25.3k |
| 10 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21.2k | $21.2k | — | — | — | $21.2k – $21.2k |
| 11 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 12 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 13 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 14 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 15 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 16 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 17 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 18 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 19 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 20 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 21 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 22 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 23 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 24 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 25 | PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
← Payers reporting HCPCS C8004 · Snapshot 20261111T120946Z-9134e7f7