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
facility
Low
$1
Average
$2.4k
Median
$27
High
$14.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 11848.9× 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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39 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 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $44 | $44 | $19 | 43% | — | $25 – $63 |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $7 | 31% | — | $15 – $29 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $7 | 31% | — | $15 – $28 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $7 | 31% | — | $15 – $28 |
| 5 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | $8 | 31% | — | $19 – $36 |
| 6 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 8 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 9 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 10 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 11 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $40 | $35 | $17 | 48% | — | $12 – $52 |
| 12 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $40 | $35 | $17 | 48% | — | $12 – $52 |
| 13 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $40 | $34 | $17 | 48% | — | $12 – $52 |
| 14 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | McLeod Health Dillon, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | McLeod Health Cheraw, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | McLeod Health Manning, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | McLeod Health Florence, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | McLeod Health Beach, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | McLeod Health Loris, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | McLeod Health River, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 24 | Newton Medical Center Newton, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 25 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
← Payers reporting HCPCS J0689 · Snapshot 20261111T120946Z-9134e7f7