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
Tte W or W/O Contr, Cont Ecg
Low
$290
Average
$776
Median
$761
High
$2.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
132 hospitals; the 90th percentile is 1.4× 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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141 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 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $992 | $992 | — | — | 46 | $992 – $992 |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $933 | $933 | $2 | 0% | 20 | $930 – $935 |
| 3 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $863 | $863 | $4 | 0% | 14 | $859 – $868 |
| 4 | St. Charles Bend Bend, OR other · both | 1 | $871 | $871 | — | — | 1–10 | $871 – $871 |
| 5 | St. Charles Redmond Redmond, OR other · both | 1 | $871 | $871 | — | — | 1–10 | $871 – $871 |
| 6 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 10 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 11 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 12 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $778 | $778 | — | — | — | $778 – $778 |
| 14 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $760 | $760 | — | — | — | $760 – $760 |
| 15 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 1 | $762 | $762 | — | — | — | $762 – $762 |
| 16 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $762 | $762 | — | — | — | $762 – $762 |
| 17 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $695 | $695 | — | — | — | $695 – $695 |
| 18 | CentraState Medical Center Freehold Township, NJ other · both | 2 | $636 | $636 | — | — | — | $636 – $636 |
| 19 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $636 | $636 | — | — | — | $636 – $636 |
| 20 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $636 | $636 | — | — | — | $636 – $636 |
| 21 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $636 | $636 | — | — | — | $636 – $636 |
| 22 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $760 | $760 | — | — | — | $760 – $760 |
| 23 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $676 | $676 | — | — | — | $676 – $676 |
| 24 | Desert Valley Hospital Victorville, CA fee schedule · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $797 | $797 | — | — | — | $797 – $797 |
← Payers reporting HCPCS C8930 · Snapshot 20261111T120946Z-9134e7f7