RC 874
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
THERAPY CAR-T CELL ADMINISTRATION AUTOLOGOUS
Low
$212
Average
$4.3k
Median
$1.1k
High
$23.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 63.7× 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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18 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 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 2 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $18.0k | $18.0k | — | — | — | $18.0k – $18.0k |
| 3 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 4 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 5 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 6 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 7 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $336 | $1.4k | $1.5k | 107% | — | $336 – $3.5k |
| 8 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $336 | $1.4k | $1.5k | 107% | — | $336 – $3.5k |
| 9 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $336 | $1.4k | $1.5k | 107% | — | $336 – $3.5k |
| 10 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $336 | $1.4k | $1.5k | 107% | — | $336 – $3.5k |
| 11 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $336 | $1.4k | $1.5k | 107% | — | $336 – $3.5k |
| 12 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $212 | $212 | $93 | 44% | — | $119 – $305 |
| 13 | PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC percent of total billed charges · bothfrom % of charges | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 14 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · fee schedule · outpatient | 1 | $21.0k | $21.0k | — | — | — | $21.0k – $21.0k |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 16 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $23.1k | $23.1k | — | — | — | $23.1k – $23.1k |
| 17 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 18 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $412 | $412 | — | — | — | $412 – $412 |
← Payers reporting RC 874 · Snapshot 20261111T120946Z-9134e7f7