RC 409
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.
Generation details were not recorded for this description.
Original text from hospital filings
N-Invas Estimated Coronary Ffr Sw Aly Cad Data Pre
Low
$18
Average
$829
Median
$1.0k
High
$2.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 75.0× 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.
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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 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $1.4k | $1.4k | $69 | 5% | 1–10 | $1.4k – $1.5k |
| 2 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $472 | $470 | $65 | 14% | — | $401 – $547 |
| 4 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 5 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · both | 1 | $1.3k | $1.3k | $65 | 5% | — | $1.3k – $1.4k |
| 6 | METHODIST NORTH HOSPITAL MEMPHIS, TN other · both | 1 | $1.3k | $1.3k | $65 | 5% | — | $1.3k – $1.4k |
| 7 | METHODIST SOUTH HOSPITAL MEMPHIS, TN other · both | 1 | $1.3k | $1.3k | $65 | 5% | — | $1.3k – $1.4k |
| 8 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · both | 1 | $1.3k | $1.3k | $65 | 5% | — | $1.3k – $1.4k |
| 9 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME other · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 10 | University Health Truman Medical Center Kansas City, MO facility · fee schedule · outpatient | 1 | $203 | $846 | $1.1k | 132% | — | $59 – $3.2k |
| 11 | University of Virginia Culpeper Medical Center Culpeper, VA fee schedule · both | 1 | $18 | $18 | $4 | 21% | — | $15 – $22 |
| 12 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 1 | $18 | $18 | $4 | 21% | — | $15 – $22 |
| 13 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 1 | $18 | $18 | $4 | 21% | — | $15 – $22 |
| 14 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 1 | $18 | $18 | $4 | 21% | — | $15 – $22 |
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