RC 961
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
Office Visit, Established Pat
Low
$41
Average
$236
Median
$222
High
$457
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 3.8× 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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31 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $390 | $426 | $227 | 53% | 628–727 | $36 – $864 |
| 2 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $204 | $256 | $160 | 62% | 71–107 | $33 – $777 |
| 3 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $279 | $294 | $176 | 60% | 71–125 | $30 – $984 |
| 4 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $579 | $514 | $130 | 25% | 65–110 | $289 – $688 |
| 5 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $270 | $287 | $164 | 57% | 47–65 | $30 – $813 |
| 6 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $255 | $285 | $152 | 53% | 40–49 | $73 – $692 |
| 7 | Salem Hospital Salem, MA other · both | 1 | $228 | $228 | $123 | 54% | 17–26 | $104 – $351 |
| 8 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $270 | $302 | $174 | 57% | 13–22 | $30 – $852 |
| 9 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $396 | $393 | $192 | 49% | 6–60 | $67 – $636 |
| 10 | Massachusetts General Hospital Boston, MA other · both | 1 | $177 | $177 | — | — | 1–10 | $177 – $177 |
| 11 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · bothfrom % of charges | 1 | $189 | $199 | $70 | 35% | — | $100 – $305 |
| 12 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $189 | $199 | $70 | 35% | — | $100 – $305 |
| 13 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $326 | $395 | $120 | 30% | — | $326 – $603 |
| 14 | CORNING HOSPITAL Corning, NY facility · fee schedule · outpatient | 1 | $87 | $95 | $46 | 49% | — | $34 – $176 |
| 15 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $299 | $247 | $96 | 39% | — | $33 – $402 |
| 16 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $157 | $53 | 34% | — | $106 – $231 |
| 17 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $76 | $129 | $111 | 86% | — | $9 – $408 |
| 18 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $76 | $130 | $113 | 87% | — | $6 – $408 |
| 19 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $65 | $31 | 48% | — | $42 – $109 |
| 20 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $41 | $14 | 33% | — | $25 – $64 |
| 21 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $101 | $91 | $45 | 49% | — | $11 – $194 |
| 22 | North Adams Regional Hospital North Adams, MA professional · fee schedule · outpatient | 1 | $108 | $114 | $58 | 51% | — | $15 – $242 |
| 23 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 24 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 25 | PARKWEST MEDICAL CENTER Louisville, TN fee schedule · both | 1 | $121 | $161 | $128 | 80% | — | $92 – $779 |
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