RC 624
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
Mgh G050233 Cabana Ablation Device
Low
$0
Average
$13.9k
Median
$4.4k
High
$52.8k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 36.0× 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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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 | Ascension St. Vincent Heart Center Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $82.4k | $52.8k | $43.4k | 82% | — | $1 – $96.6k |
| 2 | Carmel AmbSurg Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $26.3k | $26.6k | $29.5k | 111% | — | $1 – $80.7k |
| 3 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $1 | $17.6k | $21.5k | 122% | — | $1 – $44.2k |
| 4 | Endo Surgery Center Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $26.3k | $26.6k | $29.5k | 111% | — | $1 – $80.7k |
| 5 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $1 | $3.8k | $11.4k | 300% | — | $1 – $38.0k |
| 6 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $1 | $1 | $0 | 33% | — | $0 – $1 |
| 7 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | $1.7k | 100% | — | $0 – $3.4k |
| 8 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · inpatientfrom % of charges | 1 | $5.1k | $5.1k | $950 | 19% | — | $4.1k – $6.0k |
| 10 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $15.2k | $17.7k | 116% | — | $0 – $39.5k |
| 11 | Naab Road Surgery Center Indianapolis, IN percent of total billed charges · outpatientfrom % of charges | 3 | $26.3k | $26.6k | $29.5k | 111% | — | $1 – $80.7k |
| 12 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $0 | $2.9k | $9.2k | 316% | — | $0 – $31.9k |
| 13 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $0 | $2.9k | $9.2k | 316% | — | $0 – $31.9k |
| 14 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $0 | $2.9k | $9.2k | 316% | — | $0 – $31.9k |
| 15 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $0 | $2.9k | $9.2k | 316% | — | $0 – $31.9k |
| 16 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $0 | $2.9k | $9.2k | 316% | — | $0 – $31.9k |
| 17 | PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $8.3k | $34.0k | $47.4k | 139% | — | $0 – $135.7k |
| 19 | St. Vincent Hospital and Health Care Center, Inc. Indianapolis, IN percent of total billed charges · outpatientfrom % of charges | 3 | $26.3k | $26.6k | $29.5k | 111% | — | $1 – $80.7k |
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