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
Inherent Visit to Inpt
Low
$35
Average
$48
Median
$41
High
$220
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 1.1× 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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44 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $39 | $39 | $3 | 8% | — | $36 – $42 |
| 2 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 5 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 6 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 8 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 9 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 10 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 14 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 15 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 16 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 17 | Mount Carmel Grove City Grove City, OH professional · fee schedule · inpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 18 | Mount Carmel Grove City Grove City, OH professional · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 19 | Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 20 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 21 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 22 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 23 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 24 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 25 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
← Payers reporting HCPCS G0545 · Snapshot 20261111T120946Z-9134e7f7