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
Plt, aph/pher, l/r, cmv-neg
Low
$125
Average
$303
Median
$238
High
$1.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
73 hospitals; the 90th percentile is 2.3× 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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74 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 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $243 | $243 | — | — | — | $243 – $243 |
| 2 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 4 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 5 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 6 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 8 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 9 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $604 | $604 | — | — | — | $604 – $604 |
| 10 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 11 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 12 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 13 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 14 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 15 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 16 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 17 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 18 | Garden Grove Hospital Medical Center Grove, CA fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 19 | 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 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | 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 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $251 | $251 | — | — | — | $251 – $251 |
| 22 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Huntington Beach Hospital Beach, CA fee schedule · outpatient | 2 | $175 | $175 | — | — | — | $175 – $175 |
| 25 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $227 | $227 | — | — | — | $227 – $227 |
← Payers reporting HCPCS P9055 · Snapshot 20261111T120946Z-9134e7f7