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 VISIT TO DETERM LDCT ELIG
Low
$13
Average
$59
Median
$44
High
$187
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 4.4× 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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69 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 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $73 | $73 | $28 | 39% | 23 | $45 – $102 |
| 2 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 8 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 9 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 10 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $77 | $77 | $32 | 42% | — | $45 – $109 |
| 11 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 14 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $33 | $13 | 40% | — | $17 – $49 |
| 15 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $236 | $187 | $69 | 37% | — | $89 – $236 |
| 18 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 19 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 20 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $45 | $45 | $2 | 4% | — | $43 – $46 |
| 21 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | $2 | 4% | — | $41 – $44 |
| 22 | GLENS FALLS HOSPITAL INC Falls, NY professional · fee schedule · outpatient | 4 | $23 | $23 | $2 | 10% | — | $20 – $26 |
| 23 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 24 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 25 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $82 | $82 | — | — | — | $82 – $82 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7