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
Lab Travel One Way per Trip Charge
Low
$1
Average
$11
Median
$10
High
$29
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 5.1× 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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18 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 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $3 | $4 | $3 | 69% | — | $2 – $11 |
| 2 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $0 | $1 | $1 | 97% | — | $0 – $3 |
| 3 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $10 | $10 | $1 | 5% | — | $10 – $11 |
| 4 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 2 | $10 | $10 | $0 | 2% | — | $10 – $11 |
| 5 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $9 | $7 | $8 | 107% | — | $1 – $60 |
| 8 | Hackettstown Medical Center Hackettstown, NJ fee schedule · outpatient | 2 | $10 | $10 | $0 | 2% | — | $10 – $11 |
| 9 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $29 | $29 | $1 | 3% | — | $28 – $30 |
| 10 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Morristown Medical Center Morristown, NJ fee schedule · outpatient | 2 | $10 | $10 | $0 | 2% | — | $10 – $11 |
| 13 | Newton Medical Center Newton, NJ fee schedule · outpatient | 2 | $10 | $10 | $0 | 2% | — | $10 – $11 |
| 14 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 15 | Overlook Medical Center Summit, NJ fee schedule · outpatient | 2 | $10 | $10 | $0 | 2% | — | $10 – $11 |
| 16 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | St. Joseph Health System, LLC Wayne, IN facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Warsaw Health System LLC Warsaw, IN facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Payers reporting HCPCS P9604 · Snapshot 20261111T120946Z-9134e7f7