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
INTENS OUTPT PSY PER DIEM
Low
$137
Average
$310
Median
$212
High
$1.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 2.2× 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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19 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 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $215 | $215 | — | — | 244 | $215 – $215 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 4 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 5 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 6 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 7 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $211 | $211 | — | — | — | $211 – $211 |
| 8 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · case rate · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 9 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · case rate · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 10 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $280 | $352 | $195 | 55% | — | $173 – $673 |
| 11 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $278 | $278 | $89 | 32% | — | $189 – $367 |
| 12 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $137 | $34 | 25% | — | $98 – $248 |
| 13 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $383 | $212 | 55% | — | $189 – $732 |
| 14 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
| 15 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 16 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $160 | $160 | $44 | 28% | — | $116 – $205 |
| 17 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 18 | The Toledo Hospital Maumee, OH facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
← Payers reporting HCPCS S9480 · Snapshot 20261111T120946Z-9134e7f7