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
RHC INITAL E/M FOR DIABETIC FOOT EXAM
Low
$21
Average
$113
Median
$121
High
$170
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
68 hospitals; the 90th percentile is 3.2× 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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75 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 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 3 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 5 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 10 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 11 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 14 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 15 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 16 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $49 | $50 | $13 | 26% | — | $34 – $67 |
| 17 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 18 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 19 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 20 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 21 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 22 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $44 | $38 | $18 | 48% | — | $14 – $57 |
| 23 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 24 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 25 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
← Payers reporting HCPCS G0245 · Snapshot 20261111T120946Z-9134e7f7