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
PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA
Low
$33
Average
$24.0k
Median
$18.7k
High
$70.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 10.7× 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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42 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 | $44.4k | $44.4k | — | — | — | $44.4k – $44.4k |
| 2 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 3 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 4 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $5.8k | $4.8k | $2.4k | 51% | — | $1.4k – $7.1k |
| 5 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 6 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 7 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 8 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $25.6k | $25.6k | — | — | — | $25.6k – $25.6k |
| 9 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 10 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 11 | 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 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 12 | 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 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 13 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 14 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19.7k | $19.7k | — | — | — | $19.7k – $19.7k |
| 15 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 16 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 17 | MVHS, Inc. Utica, NY other · outpatient | 1 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 18 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 19 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 20 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 21 | Newton Medical Center Newton, NJ other · outpatient | 2 | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 22 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $31.1k | $34.3k | $7.0k | 20% | — | $31.1k – $50k |
| 23 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $31.1k | $34.3k | $7.0k | 20% | — | $31.1k – $50k |
| 24 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $31.1k | $34.3k | $7.0k | 20% | — | $31.1k – $50k |
| 25 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $31.1k | $34.3k | $7.0k | 20% | — | $31.1k – $50k |
← Payers reporting HCPCS C9601 · Snapshot 20261111T120946Z-9134e7f7