▸ Payer

TRICARE

Negotiated rates published by hospitals for TRICARE across 23 states. Data sourced from federally-mandated machine-readable files.

Hospitals

129

Procedures

209

States

Rate rows

39,069

Median neg. rate

$224.48

Top procedures for TRICARE

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	101	$728.76
Lumbosacral spine X-ray	CPT	72100	100	$124.4
CT abdomen and pelvis with contrast	CPT	74177	100	$1,302.57
CT chest with contrast	CPT	71260	100	$613.07
CT head without contrast	CPT	70450	100	$423.96
CT abdomen and pelvis without contrast	CPT	74176	100	$975.99
Tissue exam by pathologist level IV	CPT	88305	99	$131.77
MRI brain with and without contrast	CPT	70553	99	$1,015.46
MRI lumbar spine without contrast	CPT	72148	99	$742.98
MRI cervical spine without contrast	CPT	72141	99	$743.66
CT chest without contrast	CPT	71250	99	$459.95
CT lumbar spine without contrast	CPT	72131	99	$454.44
CT abdomen and pelvis with and without contrast	CPT	74178	99	$1,278.66
Abdominal ultrasound complete	CPT	76700	99	$277.34
Abdominal ultrasound limited	CPT	76705	99	$215.15
Retroperitoneal ultrasound complete	CPT	76770	99	$221.72
Shoulder X-ray	CPT	73030	99	$109.28
Knee X-ray 1-2 views	CPT	73560	99	$96.03
Ankle X-ray 3 views	CPT	73610	99	$99.75
ED visit level 5	CPT	99285	98	$643.86
Humerus X-ray	CPT	73060	98	$98.74
CT neck with contrast	CPT	70491	98	$577.24
Hand X-ray 3 views	CPT	73130	98	$102.88
MRI lumbar spine with contrast	CPT	72158	98	$1,036.91
CT cervical spine without contrast	CPT	72125	98	$458.1
CT thoracic spine without contrast	CPT	72128	98	$457.08
Pelvic ultrasound complete	CPT	76856	98	$225.43
CT pelvis without contrast	CPT	72192	98	$427.43
MRI cervical spine with and without contrast	CPT	72156	98	$1,016.46
MRI thoracic spine without contrast	CPT	72146	98	$743.3

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
University Medical Ctr. At New Orlea	New Orleans	LA	$30.64
Lakeview Hospital	—	—	$34.03
Lakeside Hospital	—	—	$34.03
Rio Grande Hospital	Del Norte	CO	$38.09
Driscoll Childrens Hospital	Corpus Christi	TX	$55.53
St. Mary Medical Center Inc.	Hobart	IN	$95.39
Ascension St. Vincent Warrick	Booneville	IN	$95.39
Parkside Hospital Inc.	Tulsa	OK	$99.32
The Children's Hospital of Alabama - Children's South	—	—	$115.03
Houston Medical Center	Warner Robins	GA	$120.27
Perry Hospital	Perry	GA	$149.7
The Childrens Hospital Of Alabama	Birmingham	AL	$238.89
Children's Hospital Of Alabama	—	—	$238.89
Cottonwood Springs	Olathe	KS	$304.77
NEMOURS CHILDREN'S HOSPITAL	—	—	$521.7
Monument Health Sturgis Hospital	—	—	$708.74
Monument Health Sturgis Regional	Sturgis	SD	$708.74
Monument Health Lead-Deadwood Hospit	Deadwood	SD	$773.92
Monument Health Lead-Deadwood Hospital	—	—	$773.92
Jacobson Memorial Hospital	Elgin	ND	$871.67

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States with hospitals publishing rates for TRICARE.

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