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
Place endorectal app
The 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.
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45 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $828.67 | $828.67 – $828.67 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $898.34 | $898.34 – $898.34 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $877.08 | $877.08 – $877.08 |
| 4 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $903.63 | $903.63 – $903.63 |
| 5 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $4,455 | $4,455 – $4,455 |
| 6 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $903.63 | $903.63 – $903.63 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $877.08 | $877.08 – $877.08 |
| 8 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $838.30 | $838.30 – $838.30 |
| 9 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $843.73 | $843.73 – $843.73 |
| 10 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $843.73 | $843.73 – $843.73 |
| 11 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $4,455 | $4,455 – $4,455 |
| 12 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $870.81 | $870.81 – $870.81 |
| 13 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $561.73 | $328.22 – $795.24 |
| 14 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $795.24 | $795.24 – $795.24 |
| 15 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $874.02 | $874.02 – $874.02 |
| 16 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $874.02 | $874.02 – $874.02 |
| 17 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $1,103 | $1,103 – $1,103 |
| 18 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $829.55 | $829.55 – $829.55 |
| 19 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $903.63 | $903.63 – $903.63 |
| 20 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $811.83 | $811.83 – $811.83 |
| 21 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $843.73 | $843.73 – $843.73 |
| 22 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $843.73 | $843.73 – $843.73 |
| 23 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $866.12 | $866.12 – $866.12 |
| 24 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $866.12 | $866.12 – $866.12 |
| 25 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $5,143 | $5,143 – $5,143 |
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