RC 819
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
NMDP SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL
Low
$38
Average
$4.1k
Median
$654
High
$51.7k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 137.9× 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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20 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 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $6.6k | $6.5k | $675 | 10% | — | $5.6k – $8.0k |
| 2 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $551 | $654 | $311 | 48% | — | $551 – $1.6k |
| 3 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $551 | $654 | $311 | 48% | — | $551 – $1.6k |
| 5 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $551 | $4.9k | $7.4k | 151% | — | $551 – $20.1k |
| 7 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $810 | $810 | $354 | 44% | — | $456 – $1.2k |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 11 | St Anthony Community Hospital Warwick, NY facility · fee schedule · outpatient | 1 | $551 | $654 | $311 | 48% | — | $551 – $1.6k |
| 12 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 13 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $51.7k | $51.7k | $50.1k | 97% | — | $1.6k – $101.8k |
| 15 | University Health Truman Medical Center Kansas City, MO facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | $146 | 11% | — | $1.2k – $1.5k |
| 16 | University of Virginia Culpeper Medical Center Culpeper, VA fee schedule · both | 1 | $41 | $38 | $7 | 18% | — | $28 – $45 |
| 17 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 1 | $41 | $38 | $7 | 18% | — | $28 – $45 |
| 18 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 1 | $41 | $38 | $7 | 18% | — | $28 – $45 |
| 19 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 1 | $41 | $38 | $7 | 18% | — | $28 – $45 |
| 20 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $551 | $4.9k | $7.4k | 151% | — | $551 – $20.1k |
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