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
Resp Fcn/Strengh 2/> Indiv
Low
$12
Average
$45
Median
$37
High
$326
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
210 hospitals; the 90th percentile is 1.6× 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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222 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 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $37 | $37 | — | — | 67 | $37 – $37 |
| 2 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $43 | $43 | $0 | 0% | 39 | $43 – $43 |
| 3 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $34 | $34 | — | — | 28 | $34 – $34 |
| 4 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $39 | $39 | — | — | 24 | $39 – $39 |
| 5 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC other · both | 1 | $37 | $37 | — | — | 2–20 | $37 – $37 |
| 6 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
| 7 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 9 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 10 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 14 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 17 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 18 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 21 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 22 | Boston Medical Center Boston, MA other · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 23 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 24 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 25 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $118 | $118 | $71 | 61% | — | $46 – $189 |
← Payers reporting HCPCS G0239 · Snapshot 20261111T120946Z-9134e7f7