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
HC Rt Hbo Treatment MC Ea 30 Min
Low
$51
Average
$176
Median
$136
High
$3.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
214 hospitals; the 90th percentile is 1.5× 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.
Filter by billing methodology
Filter by billing class
223 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 BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $129 | $129 | — | — | 138 | $129 – $129 |
| 2 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $129 | $129 | — | — | 138 | $129 – $129 |
| 3 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $126 | $126 | — | — | 120 | $126 – $126 |
| 4 | Lowell General Hospital Lowell, MA other · both | 1 | $671 | $671 | — | — | 100 | $671 – $671 |
| 5 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $509 | $509 | $78 | 15% | 21–30 | $431 – $588 |
| 6 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $175 | $175 | — | — | 1–10 | $175 – $175 |
| 7 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 8 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 9 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 10 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 11 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 12 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 13 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 14 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 15 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 16 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 17 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 18 | Boston Medical Center Boston, MA other · both | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 19 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 20 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 21 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 22 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $162 | $162 | $1 | 1% | — | $161 – $163 |
| 23 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 24 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 25 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
← Payers reporting HCPCS G0277 · Snapshot 20261111T120946Z-9134e7f7