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
Repair Ci Equip per 15 Mins
Low
$37
Average
$56
Median
$41
High
$228
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 1.0× 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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13 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 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 4 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 5 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 6 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 7 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 8 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 9 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 10 | PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 11 | ROANE COUNTY MEDICAL CENTER Harriman, TN fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 12 | The Toledo Hospital Maumee, OH facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 13 | The Toledo Hospital Maumee, OH professional · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
← Payers reporting HCPCS L7520 · Snapshot 20261111T120946Z-9134e7f7