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
Renflexis
Low
$23
Average
$649
Median
$27
High
$6.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
124 hospitals; the 90th percentile is 113.1× 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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127 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 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $26 | $26 | — | — | 45 | $26 – $26 |
| 2 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $26 | $26 | — | — | 45 | $26 – $26 |
| 3 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 7 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Boston Medical Center Boston, MA other · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 10 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 11 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 12 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 13 | Cary Medical Center Caribou, ME case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 14 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 15 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 17 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 18 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | $81 | 2% | — | $3.2k – $3.4k |
| 20 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 21 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 24 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Payers reporting HCPCS Q5104 · Snapshot 20261111T120946Z-9134e7f7