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
PR Admin Advcd Risk Assess 5-15 Min Not More Than Every 12 Mo
Low
$7
Average
$28
Median
$29
High
$46
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 4.6× 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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34 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 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Boston Medical Center Boston, MA other · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 5 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 6 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 7 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $46 | $46 | $0 | 1% | — | $46 – $47 |
| 12 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 13 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 14 | GLENS FALLS HOSPITAL INC Falls, NY professional · fee schedule · outpatient | 4 | $12 | $12 | $4 | 36% | — | $7 – $18 |
| 15 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 16 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 17 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 18 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 19 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 20 | MCLAREN GREATER LANSING LANSING, MI fee schedule | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 21 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 22 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 23 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 25 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
← Payers reporting HCPCS G0537 · Snapshot 20261111T120946Z-9134e7f7