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
FOLEY IN&OUT UA ONLY
Low
$3
Average
$16
Median
$9
High
$325
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
191 hospitals; the 90th percentile is 2.7× 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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198 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $9 | $9 | — | — | 19 | $9 – $9 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $109 | $109 | — | — | — | $109 – $109 |
| 9 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Centinela Hospital Medical Center Inglewood, CA fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 19 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 20 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 21 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 22 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | Durant HMA LLC Durant, OK facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 24 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $7 | $7 | $1 | 18% | — | $6 – $9 |
← Payers reporting HCPCS P9612 · Snapshot 20261111T120946Z-9134e7f7