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
J1921
Low
$1
Average
$1.1k
Median
$41
High
$6.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 4866.6× 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.
Filter by billing methodology
Filter by billing class
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 | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 6 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 7 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 8 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $41 | $41 | $0 | 0% | — | $41 – $41 |
| 9 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $41 | $41 | $0 | 0% | — | $41 – $41 |
| 10 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 11 | McLeod Health Dillon, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | McLeod Health Cheraw, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | McLeod Health Manning, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | McLeod Health Florence, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | McLeod Health Beach, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | McLeod Health Loris, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | McLeod Health River, SC fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Mercy Hospital Logan County Inc Guthrie, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 22 | Nebraska Spine Hospital, LLC 6901 North 72nd St Suite 20300 facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 23 | Newton Medical Center Newton, NJ other · outpatient | 2 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 24 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 25 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $52 | $52 | — | — | — | $52 – $52 |
← Payers reporting HCPCS J1921 · Snapshot 20261111T120946Z-9134e7f7