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
TRIAGE ONLY
Low
$19
Average
$302
Median
$238
High
$745
Each hospital's average First Health rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 4.6× 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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38 hospital rates
iThe hospitals that file a First Health 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 | Affinity Hospital LLC Birmingham, AL facility · other · outpatient | 1 | $317 | $428 | $157 | 37% | — | $317 – $651 |
| 2 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $414 | $558 | $205 | 37% | — | $414 – $848 |
| 3 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 4 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 5 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $745 | $745 | — | — | — | $745 – $745 |
| 6 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $745 | $745 | — | — | — | $745 – $745 |
| 7 | Carlsbad Medical Center LLC Carlsbad, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 8 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 9 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 10 | Durant HMA LLC Durant, OK facility · percent of total billed charges · inpatientfrom % of charges | 1 | $687 | $687 | — | — | — | $687 – $687 |
| 11 | Durant HMA LLC Durant, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $644 | $644 | — | — | — | $644 – $644 |
| 12 | East Georgia Regional Medical Center LLC Statesboro, GA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 13 | East Georgia Regional Medical Center LLC Statesboro, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 14 | Foley Hospital Company LLC Foley, AL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $312 | $312 | $12 | 4% | — | $300 – $323 |
| 15 | Gadsden Regional Medical Center LLC Gadsden, AL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $497 | $497 | $35 | 7% | — | $462 – $532 |
| 16 | Knox Hospital Company LLC Knox, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 17 | Knox Hospital Company LLC Knox, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 18 | Las Cruces Medical Center LLC Las Cruces, NM facility · percent of total billed charges · inpatientfrom % of charges | 1 | $320 | $292 | $39 | 13% | — | $238 – $320 |
| 19 | Las Cruces Medical Center LLC Las Cruces, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $320 | $292 | $39 | 13% | — | $238 – $320 |
| 20 | Marshall County HMA, LLC Madill, OK facility · percent of total billed charges · inpatientfrom % of charges | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 21 | Marshall County HMA, LLC Madill, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 22 | Mat-Su Valley Medical Center LLC Palmer, AK facility · percent of total billed charges · inpatientfrom % of charges | 1 | $366 | $366 | — | — | — | $366 – $366 |
| 23 | Mat-Su Valley Medical Center LLC Palmer, AK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $366 | $366 | — | — | — | $366 – $366 |
| 24 | Northwest Hospital LLC Tucson, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $401 | $401 | — | — | — | $401 – $401 |
| 25 | Northwest Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $401 | $474 | $104 | 22% | — | $401 – $621 |
← Payers reporting HCPCS T5999 · Snapshot 20261111T120946Z-9134e7f7