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
$7
Average
$139
Median
$88
High
$430
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 21.9× 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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50 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $288 | $200 | $117 | 58% | — | $28 – $303 |
| 2 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $31 | $25 | 81% | — | $2 – $92 |
| 4 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $31 | $25 | 81% | — | $2 – $89 |
| 5 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $31 | $25 | 81% | — | $2 – $89 |
| 6 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $39 | $31 | 81% | — | $2 – $113 |
| 7 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | $13 | 52% | — | $12 – $37 |
| 8 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $49 | $88 | $69 | 78% | — | $31 – $184 |
| 10 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $74 | $76 | $17 | 22% | — | $56 – $110 |
| 11 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $76 | $17 | 22% | — | $56 – $110 |
| 12 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 13 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $30 | $30 | $17 | 57% | — | $6 – $80 |
| 15 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | $16 | 57% | — | $5 – $75 |
| 16 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $66 | $66 | $7 | 10% | — | $59 – $73 |
| 17 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | $6 | 10% | — | $55 – $68 |
| 18 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | $19 | 34% | — | $36 – $73 |
| 19 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $35 | $43 | $32 | 74% | — | $20 – $114 |
| 20 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $98 | $82 | 84% | — | $19 – $212 |
| 21 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $61 | $113 | $112 | 99% | — | $28 – $303 |
| 22 | McLeod Health Dillon, SC percent of total billed charges · bothfrom % of charges | 1 | $288 | $430 | $331 | 77% | — | $128 – $1.4k |
| 23 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $288 | $393 | $301 | 77% | — | $128 – $1.4k |
| 24 | McLeod Health Manning, SC percent of total billed charges · bothfrom % of charges | 1 | $288 | $430 | $331 | 77% | — | $128 – $1.4k |
| 25 | McLeod Health Florence, SC percent of total billed charges · bothfrom % of charges | 1 | $288 | $430 | $331 | 77% | — | $128 – $1.4k |
← Payers reporting HCPCS J2310 · Snapshot 20261111T120946Z-9134e7f7