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
#N/A
Low
$0
Average
$66
Median
$0
High
$1.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 3600.0× 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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36 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 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | $3 | 9% | — | $35 – $42 |
| 2 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | $3 | 9% | — | $34 – $40 |
| 3 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | $3 | 9% | — | $34 – $40 |
| 4 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | $4 | 9% | — | $43 – $51 |
| 5 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | $894 | 87% | — | $129 – $1.9k |
| 9 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Lansdale Hospital Corp Lansdale, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
← Payers reporting HCPCS J0872 · Snapshot 20261111T120946Z-9134e7f7