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
Evenity
Low
$10
Average
$1.6k
Median
$12
High
$15.8k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
154 hospitals; the 90th percentile is 431.6× 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.
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168 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 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $12 | $12 | — | — | 17 | $12 – $12 |
| 2 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 3 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 4 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $21 | $21 | $9 | 42% | 1–10 | $12 – $29 |
| 5 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 7 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $3.7k | $4.5k | $1.4k | 30% | — | $3.7k – $6.9k |
| 8 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Boston Medical Center Boston, MA other · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 10 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · bothfrom % of charges | 1 | $944 | $944 | — | — | — | $944 – $944 |
| 13 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $21 | $21 | $9 | 42% | — | $12 – $29 |
| 14 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $22 | $662 | $906 | 137% | — | $22 – $1.9k |
| 19 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 20 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 22 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 23 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $10.8k | $10.8k | $537 | 5% | — | $10.3k – $11.3k |
| 24 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 25 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
← Payers reporting HCPCS J3111 · Snapshot 20261111T120946Z-9134e7f7