Low
$4
Average
$214
Median
$187
High
$453
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 10.0× 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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9 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 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | 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 | $87 | $87 | — | — | — | $87 – $87 |
| 3 | 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 | $73 | $73 | — | — | — | $73 – $73 |
| 4 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · fee schedule · outpatient | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 5 | St Joseph Mercy Chelsea Chelsea, MI professional · percent of total billed charges · inpatientfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 6 | St Joseph Mercy Chelsea Chelsea, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 7 | St Mary Mercy Livonia Livonia, MI professional · percent of total billed charges · inpatientfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 8 | St Mary Mercy Livonia Livonia, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 9 | The Chester County Hospital West Chester, PA facility · fee schedule · outpatient | 1 | $375 | $375 | — | — | — | $375 – $375 |
← Payers reporting HCPCS G9880 · Snapshot 20261111T120946Z-9134e7f7