RC 987
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
99213 Office/OP Estab., Low
Low
$0
Average
$286
Median
$204
High
$1.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 5.8× 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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15 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 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $270 | $465 | $653 | 140% | — | $26 – $5.0k |
| 2 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $136 | $142 | $35 | 25% | — | $91 – $192 |
| 3 | Benefis Community Hospitals, Inc Choteau, MT other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $122 | $92 | 75% | — | $12 – $532 |
| 5 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $40 | $62 | $90 | 147% | — | $19 – $493 |
| 6 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 1 | $159 | $254 | $238 | 94% | — | $49 – $944 |
| 7 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $176 | $204 | $134 | 65% | — | $7 – $565 |
| 8 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $394 | $1.2k | $1.5k | 120% | — | $50 – $4.3k |
| 9 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $200 | $200 | $65 | 33% | — | $120 – $280 |
| 10 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $261 | $458 | $697 | 152% | — | $0 – $3.9k |
| 11 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $100 | $105 | $53 | 51% | — | $10 – $246 |
| 12 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $246 | $267 | $106 | 40% | — | $105 – $454 |
| 13 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $246 | $267 | $106 | 40% | — | $105 – $454 |
| 14 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $85 | $129 | $179 | 140% | — | $0 – $815 |
| 15 | San Juan Hospital Spanish Valley, UT facility · fee schedule · both | 3 | $387 | $387 | — | — | — | $387 – $387 |
← Payers reporting RC 987 · Snapshot 20261111T120946Z-9134e7f7