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
Inflectra
Low
$6
Average
$629
Median
$24
High
$4.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
156 hospitals; the 90th percentile is 129.6× 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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168 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 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $24 | $24 | — | — | 138 | $24 – $24 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $24 | $24 | — | — | 138 | $24 – $24 |
| 3 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $24 | $24 | — | — | 32–41 | $24 – $24 |
| 4 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $24 | $24 | — | — | 32 | $24 – $24 |
| 5 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 6 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 7 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 6 | $20 | $19 | $2 | 10% | — | $16 – $20 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 11 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $1.2k | $1.4k | $435 | 30% | — | $1.2k – $2.2k |
| 12 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Boston Medical Center Boston, MA other · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 15 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 17 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 18 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 19 | Cary Medical Center Caribou, ME case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 20 | CentraState Medical Center Freehold Township, NJ other · both | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 22 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 24 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 25 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
← Payers reporting HCPCS Q5103 · Snapshot 20261111T120946Z-9134e7f7