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
HC Sculptra per 0.5 Mg
Low
$1
Average
$88
Median
$2
High
$1.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 4.0× 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.
Filter by billing methodology
Filter by billing class
14 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 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 5 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 11 | PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | ROANE COUNTY MEDICAL CENTER Harriman, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS Q2028 · Snapshot 20261111T120946Z-9134e7f7