RC 922
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
Motor&/Sens 3-4 Nrv Cndj Tst|BILATERAL PROCEDURE
Low
$71
Average
$830
Median
$295
High
$12.7k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
192 hospitals; the 90th percentile is 15.6× 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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224 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 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $311 | $293 | $155 | 53% | 35–80 | $129 – $531 |
| 2 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $984 | $3.0k | $3.5k | 115% | 16–43 | $142 – $11.7k |
| 3 | Massachusetts General Hospital Boston, MA other · both | 1 | $351 | $414 | $141 | 34% | 9–90 | $177 – $599 |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $195 | $242 | $180 | 74% | 9–90 | $116 – $775 |
| 5 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $269 | $353 | $230 | 65% | 4–40 | $111 – $880 |
| 6 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $364 | $330 | $137 | 41% | 4–40 | $135 – $459 |
| 7 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $326 | $294 | $147 | 50% | 3–30 | $135 – $555 |
| 8 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $290 | $342 | $231 | 67% | 3–30 | $120 – $947 |
| 9 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $290 | $342 | $231 | 67% | 3–30 | $120 – $947 |
| 10 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $102 | $131 | $67 | 51% | 2–20 | $54 – $264 |
| 11 | Brigham and Women's Hospital Boston, MA other · both | 1 | $599 | $599 | — | — | 2–20 | $599 – $599 |
| 12 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $205 | $263 | $85 | 32% | 2–20 | $126 – $355 |
| 13 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $205 | $263 | $85 | 32% | 2–20 | $126 – $355 |
| 14 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $351 | $351 | — | — | 1–10 | $351 – $351 |
| 15 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $984 | $3.3k | $3.7k | 114% | 1–10 | $153 – $11.7k |
| 16 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both | 1 | $281 | $262 | $131 | 50% | 1–10 | $140 – $479 |
| 17 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $157 | $264 | $160 | 61% | 1–10 | $129 – $695 |
| 18 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $290 | $342 | $231 | 67% | 1–10 | $120 – $947 |
| 19 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $283 | $284 | $144 | 51% | — | $117 – $482 |
| 20 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $188 | $234 | $154 | 66% | — | $112 – $746 |
| 21 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $388 | $430 | $324 | 75% | — | $134 – $1.2k |
| 22 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $210 | $331 | $336 | 102% | — | $130 – $1.5k |
| 23 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · bothfrom % of charges | 1 | $318 | $468 | $354 | 76% | — | $124 – $1.2k |
| 24 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $318 | $468 | $354 | 76% | — | $124 – $1.2k |
| 25 | Ascension Cedar Park Park, TX percent of total billed charges · bothfrom % of charges | 1 | $882 | $882 | $558 | 63% | — | $324 – $1.4k |
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