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
PLACEMENT OCCLUSIVE DEV VEIN/ART
Low
$172
Average
$5.8k
Median
$1.2k
High
$25.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 83.2× 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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33 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 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | $2.0k | 79% | — | $534 – $4.6k |
| 3 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 4 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $564 | $564 | — | — | — | $564 – $564 |
| 6 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 7 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 8 | 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 | $519 | $519 | — | — | — | $519 – $519 |
| 9 | 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 | $437 | $437 | — | — | — | $437 – $437 |
| 10 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $410 | $410 | — | — | — | $410 – $410 |
| 11 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 12 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $372 | $307 | $92 | 30% | — | $177 – $372 |
| 13 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $372 | $307 | $92 | 30% | — | $177 – $372 |
| 14 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $530 | $530 | — | — | — | $530 – $530 |
| 15 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $172 | $172 | — | — | — | $172 – $172 |
| 16 | Mercy Love County Marietta, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 17 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 18 | Newton Medical Center Newton, NJ other · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 19 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $25.5k | $25.5k | $24.5k | 96% | — | $1.1k – $50k |
| 20 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $25.5k | $25.5k | $24.5k | 96% | — | $1.1k – $50k |
| 21 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $25.5k | $25.5k | $24.5k | 96% | — | $1.1k – $50k |
| 22 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $25.5k | $25.5k | $24.5k | 96% | — | $1.1k – $50k |
| 23 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $25.5k | $25.5k | $24.5k | 96% | — | $1.1k – $50k |
| 24 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 25 | Parrish Medical Center TITUSVILLE, FL facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | $26 | 3% | — | $986 – $1.0k |
← Payers reporting HCPCS G0269 · Snapshot 20261111T120946Z-9134e7f7