Low
$183
Average
$238
Median
$238
High
$292
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3 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 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 3 | PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC percent of total billed charges · bothfrom % of charges | 1 | $292 | $292 | — | — | — | $292 – $292 |
← Payers reporting HCPCS D9420 · Snapshot 20261111T120946Z-9134e7f7