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 2d Tte W or W/O Fol W/Contrast, F/U
Low
$48
Average
$369
Median
$344
High
$2.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
203 hospitals; the 90th percentile is 1.5× 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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210 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 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $389 | $389 | $3 | 1% | 22 | $386 – $392 |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $423 | $423 | — | — | 1–10 | $423 – $423 |
| 3 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $453 | $453 | — | — | 1–10 | $453 – $453 |
| 4 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $367 | $367 | — | — | 1–10 | $367 – $367 |
| 5 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $335 | $335 | — | — | 1–10 | $335 – $335 |
| 6 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $335 | $335 | — | — | 1–10 | $335 – $335 |
| 7 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $392 | $392 | — | — | 1–10 | $392 – $392 |
| 8 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · other · outpatient | 1 | $351 | $351 | — | — | 1–10 | $351 – $351 |
| 9 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 10 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $303 | $303 | — | — | — | $303 – $303 |
| 11 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 12 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 13 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 14 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 15 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 16 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 17 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 18 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 19 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 20 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 21 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 22 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 23 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 24 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $344 | $344 | — | — | — | $344 – $344 |
| 25 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $339 | $339 | — | — | — | $339 – $339 |
← Payers reporting HCPCS C8924 · Snapshot 20261111T120946Z-9134e7f7