Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B Facility (CPT 96910)

96910 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.

Name shown as it appears in hospital billing files.

138 of 2639 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.

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HospitalLocationCash priceGross chargeMedicare pays× Medicare
Piedmont Athens Regional Athens, GA $26.73 $89.10 $58.05 0.5×
Touro New Orleans, LA $30.80 $220 $55.37 0.6×
West Jefferson Medical Center Marrero, LA $36.80 $230 $55.37 0.7×
Memorial Medical Center Port Lavaca, TX $44.53 $63.62 $59.26 0.8×
Leonard J. Chabert Medical Center Houma, LA $47 $100 $54.95 0.9×
Citizens Memorial Hospital Bolivar, MO $48 $60 $59.09 0.8×
University Hospital – UMMC Jackson, MS $50 $125 $53.26 0.9×
UMMC Madison Canton, MS $50 $125 $53.26 0.9×
East Carroll Parish Hospital Lake Providence, LA $51.75 $69 $53.71 1.0×
University Medical Center New Orleans New Orleans, LA $53.90 $245 $53.42 1.0×
Washington County Hospital and Nursing Home Chatom, AL $54.17 $50.84 1.1×
University of Kansas Hospital Kansas City, KS $54.20 $271 $55.08 1.0×
University of Kansas Health System Olathe Hospital Olathe, KS $54.20 $271 $55.85 1.0×
The University of Kansas Health System Paola Hospital Paola, KS $54.20 $271 $56.35 1.0×
Pikeville Medical Center Pikeville, KY $55.80 $186 $55.35 1.0×
UVA Health Culpeper Medical Center Culpeper, VA $57 $114 $61.03 0.9×
UVA Health Prince William Medical Center Manassas, VA $57 $114 $61.03 0.9×
UVA Health Haymarket Medical Center Haymarket, VA $57 $114 $61.03 0.9×
Wellstar West Georgia Medical Center LaGrange, GA $58.11 $149 $58.05 1.0×
Wellstar Spalding Medical Center Griffin, GA $58.11 $149 $59.17 1.0×
Wellstar MCG Health Medical Center Augusta, GA $58.11 $149 $51.70 1.1×
Wellstar Kennestone Regional Medical Center Marietta, GA $58.11 $149 $59.92 1.0×
Wellstar Paulding Medical Center Hiram, GA $58.11 $149 $59.92 1.0×
Wellstar Cobb Medical Center Austell, GA $58.11 $149 $59.92 1.0×
Wellstar Douglas Medical Center Douglasville, GA $58.11 $149 $59.38 1.0×
Wellstar North Fulton Medical Center Roswell, GA $58.11 $149 $59.92 1.0×
Wellstar Sylvan Grove Medical Center Jackson, GA $58.11 $149 $59.17 1.0×
Jackson Memorial Hospital Miami, FL $59 $69 $61.60 1.0×
Lakeside Medical Center Belle Glade, FL $59.62 $61.60 1.0×
Manning Family Children's New Orleans, LA $59.94 $222 $55.37 1.1×
Cabell Huntington Hospital Huntington, WV $63 $63 $56.59 1.1×
Our Lady of the Lake Surgical Hospital Slidell, LA $65.22 $53.57 1.2×
Driscoll Childrens Hospital Corpus Christi, TX $66.88 $334.40 $59.26 1.1×
Nacogdoches Memorial Hospital Nacogdoches, TX $68 $227 $59.26 1.1×
UVA Health University Medical Center Charlottesville, VA $68.40 $114 $59.19 1.2×
Griffin Hospital Derby, CT $71.01 $70.72 1.0×
Children's Mercy Hospital Kansas Overland Park, KS $71.04 $148 $55.85 1.3×
Children’s Mercy Adele Hall Kansas City, MO $71.04 $148 $59.09 1.2×
Valleywise Health Medical Center Phoenix, AZ $72.39 $62.95 1.1×
University Health Truman Medical Center Kansas City, MO $73.15 $133 $59.09 1.2×
University Health Lakewood Medical Center Kansas City, MO $73.15 $133 $59.09 1.2×
Saint Thomas Hospital for Specialty Surgery Nashville, TN $73.76 $56.60 1.3×
Freeman Neosho Hospital Neosho, MO $73.80 $123 $59.09 1.2×
Texas Childrens Hospital Houston, TX $75.71 $113 $59.26 1.3×
Texas Childrens Hospital North Austin Campus Austin, TX $75.71 $113 $59.26 1.3×
Driscoll Children's Hospital Rio Grande Valley Edinburg, TX $76.78 $383.90 $59.26 1.3×
Hennepin County Medical Center Minneapolis, MN $78.30 $174 $61.79 1.3×
Norton Hospital Louisville, KY $78.40 $392 $58.49 1.3×
Straub Benioff Medical Center Honolulu, HI $78.60 $131 $69.69 1.1×
Nebraska Medical Center Omaha, NE $79.08 $121.65 $61.26 1.3×
Bellevue Medical Center Bellevue, NE $79.08 $121.65 $61.26 1.3×
Boston Medical Center Boston, MA $79.65 $177 $70.70 1.1×
Confluence Health Hospital | Central Campus Wenatchee, WA $81.90 $91 $67.85 1.2×
Vanderbilt Bedford Hospital Shelbyville, TN $83.81 $289 $56.33 1.5×
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $83.81 $289 $56 1.5×
Vanderbilt Wilson County Hospital Lebanon, TN $83.81 $289 $56.60 1.5×
UAMS Medical Center Little Rock, AR $88.20 $147 $55.43 1.6×
J.W. Ruby Memorial Hospital Morgantown, WV $89 $178 $57.06 1.6×
Children's National Hospital Washington, DC $93.50 $187 $69.69 1.3×
Golden Valley Memorial Healthcare Clinton, MO $93.60 $156 $59.09 1.6×
Alice Peck Day Memorial Hospital Lebanon, NH $99.71 $185 $62.99 1.6×
Tidelands Georgetown Memorial Hospital Georgetown, SC $106 $163 $54.87 1.9×
Tidelands Waccamaw Community Hospital Murrells Inlet, SC $106 $163 $54.87 1.9×
Hilton Head Medical Center Hilton Head Island, SC $108.56 $54.87 2.0×
East Cooper Medical Center Mount Pleasant, SC $108.56 $54.87 2.0×
Coastal Carolina Medical Center Hardeeville, SC $108.56 $54.87 2.0×
UT Health San Antonio Multispecialty & Research Ho San Antonio, TX $114 $190 $59.26 1.9×
DeSoto Regional Health System Mansfield, LA $115.50 $165 $53.42 2.2×
SSM Health Saint Louis University Hospital St. Louis, MO $117.01 $212.75 $59.09 2.0×
Sentara Albemarle Medical Center Elizabeth City, NC $119 $238 $56.39 2.1×
Duncan Regional Hospital, Inc Duncan, OK $121.10 $56.74 2.1×
Berkshire Medical Center Pittsfield, MA $123.50 $130 $70.70 1.7×
Fairview Hospital Great Barrington, MA $123.50 $130 $70.70 1.7×
North Adams Regional Hospital North Adams, MA $123.50 $130 $70.70 1.7×
MUSC Health Black River Medical Center Cades, SC $127.50 $255 $54.87 2.3×
Virginia Mason Medical Center Seattle, WA $129.03 $253 $68.50 1.9×
University Hospital Columbia, MO $130.80 $218 $59.09 2.2×
Sentara RMH Medical Center Harrisonburg, VA $131 $262 $57.56 2.3×
Sentara Martha Jefferson Hospital Charlottesville, VA $131 $262 $57.56 2.3×
Regional Medical Center Memphis, TN $131.09 $203.87 $54.66 2.4×
Sentara Norfolk General Hospital Norfolk, VA $137 $274 $57.56 2.4×
Sentara Halifax Regional Hospital South Boston, VA $137 $274 $58.01 2.4×
Sentara Obici Hospital Suffolk, VA $137 $274 $57.56 2.4×
Sentara Leigh Hospital Norfolk, VA $137 $274 $57.56 2.4×
Sentara Virginia Beach General Hospital Virginia Beach, VA $137 $274 $57.56 2.4×
Sentara CarePlex Hospital Hampton, VA $137 $274 $57.56 2.4×
Sentara Northern Virginia Medical Center Woodbridge, VA $137 $274 $57.56 2.4×
Sentara Princess Anne Hospital Virginia Beach, VA $137 $274 $57.56 2.4×
Parkland Memorial Hospital Dallas, TX $145.60 $364 $59.26 2.5×
Titus Regional Medical Center Mount Pleasant, TX $148.20 $247 $59.26 2.5×
UCHealth University of Colorado Hospital Aurora, CO $152.25 $435 $62.23 2.4×
Jefferson Healthcare Port Townsend, WA $154.40 $193 $65.74 2.3×
Vanderbilt University Hospital Nashville, TN $156.06 $289 $57.91 2.7×
MedStar Washington Hospital Center Washington, DC $161.60 $248.62 $69.69 2.3×
Yale New Haven Hospital New Haven, CT $163.76 $277.56 $70.72 2.3×
Northwest Surgical Hospital Oklahoma City, OK $170.22 $56.74 3.0×
Community Hospital, LLC Oklahoma City, OK $170.22 $56.74 3.0×
Lahey Hospital & Medical Center Burlington, MA $172 $172 $70.70 2.4×
MUSC Health University Medical Center Charleston, SC $176 $352 $54.87 3.2×
Baptist Hospital of Miami Miami, FL $179.40 $276 $61.60 2.9×
Childrens Medical Ctr of Dallas Dallas, TX $186.75 $249 $59.26 3.2×
Childrens Medical Center Plano Plano, TX $186.75 $249 $59.26 3.2×
UConn John Dempsey Hospital Farmington, CT $188.40 $314 $70.72 2.7×
St. John's Medical Center Jackson, WY $191 $191 $60.27 3.2×
Baylor Scott & White Medical Center -taylor Taylor, TX $195.80 $326.33 $59.26 3.3×
Scott & White Hospital-round Rock Round Rock, TX $195.80 $326.33 $59.26 3.3×
Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX $195.80 $326.33 $59.26 3.3×
Baylor Scott & White Medical Center - Buda Buda, TX $195.80 $326.33 $59.26 3.3×
Baylor Scott & White Medical Center- Austin Austin, TX $195.80 $326.33 $59.26 3.3×
Skagit Valley Hospital Mount Vernon, WA $198.40 $248 $65.74 3.0×
AdventHealth Orlando Orlando, FL $214 $214 $61.60 3.5×
Cook Childrens Medical Center Fort Worth, TX $219.02 $292.02 $59.26 3.7×
Tufts Medical Center Boston, MA $221.90 $317 $70.70 3.1×
Baylor Scott & White Medical Center - Temple Temple, TX $226.48 $377.46 $59.26 3.8×
Baylor Scott & White Medical Center - Hillcrest Waco, TX $226.48 $377.46 $59.26 3.8×
Baylor Scott & White Medical Center- College Stati College Station, TX $226.48 $377.46 $59.26 3.8×
Baylor Scott & White Medical Center - Marble Falls Marble Falls, TX $226.48 $377.46 $59.26 3.8×
Baylor Scott & White Hospital Brenham Brenham, TX $226.48 $377.46 $59.26 3.8×
PeaceHealth St. John Medical Center Longview, WA $245.05 $377 $65.82 3.7×
UMass Memorial Medical Center Worcester, MA $248 $248 $70.70 3.5×
Aspirus St. Luke's Hospital Duluth, MN $254.59 $468 $61.08 4.2×
Brigham and Women's Hospital Boston, MA $256.50 $342 $70.70 3.6×
UW Medical Center Seattle, WA $274.46 $392.08 $68.31 4.0×
Harborview Medical Center Seattle, WA $274.46 $392.08 $68.31 4.0×
Grady Memorial Hospital Atlanta, GA $293.25 $293.25 $59.92 4.9×
Fred Hutch Cancer Center Seattle, WA $352.87 $392.08 $68.50 5.2×
Texas Health Hospital Mansfield Mansfield, TX $353.30 $353.30 $59.26 6.0×
University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center Miami, FL $370.17 $1,371 $61.60 6.0×
Aspirus Lake View Hospital Two Harbors, MN $385.16 $468 $60.88 6.3×
Beth Israel Deaconess Medical Center Boston, MA $456 $456 $70.70 6.4×
Larkin Community Hospital South Miami, FL $499.80 $714 $61.60 8.1×
AdventHealth Carrollwood Tampa, FL $670.29 $670.29 $61.60 10.9×
Children's Hospital Colorado Aurora, CO $1,002.95 $1,543 $62.23 16.1×
Children's Hospital Colorado - Colorado Springs Colorado Springs, CO $1,002.95 $1,543 $62.23 16.1×
Cameron Regional Medical Center Cameron, MO $54 $59.09
University of Texas M D Anderson Cancer Center Houston, TX $115 $59.26
UAB Hospital Birmingham, AL $320 $53.96
Phoenix Children’s Hospital – Thomas Campus Phoenix, AZ $608 $62.95

"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.