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
HB-Hfo (Comfort Cool, Benik), Ots
Low
$2
Average
$91
Median
$97
High
$156
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 1.6× 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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55 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 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $54 | $64 | $20 | 31% | — | $50 – $103 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 4 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 5 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 6 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 7 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 8 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 9 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 10 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 11 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA fee schedule · outpatient | 1 | $89 | $89 | $2 | 3% | — | $86 – $91 |
| 12 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 15 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 16 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 17 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 18 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 19 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 20 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 21 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 22 | Lansdale Hospital Corp Lansdale, PA facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 23 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 24 | MCLAREN BAY REGION CITY, MI fee schedule | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 25 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI fee schedule | 1 | $93 | $93 | — | — | — | $93 – $93 |
← Payers reporting HCPCS L3924 · Snapshot 20261111T120946Z-9134e7f7