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
HC GABAPENTIN NON-BLOOD
Low
$8
Average
$999
Median
$54
High
$41.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 43.8× 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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55 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 2 | $119 | $119 | — | — | — | $119 – $119 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $32.5k | $32.5k | — | — | — | $32.5k – $32.5k |
| 4 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 7 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 8 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 9 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 10 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 11 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $721 | $721 | $38 | 5% | — | $683 – $759 |
| 12 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 2 | $744 | $744 | $15 | 2% | — | $729 – $759 |
| 13 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 14 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 15 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Hackettstown Medical Center Hackettstown, NJ fee schedule · outpatient | 2 | $744 | $744 | $15 | 2% | — | $729 – $759 |
| 19 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 20 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 21 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $53 | $53 | $6 | 11% | — | $47 – $59 |
| 22 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 23 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 24 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 25 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | $14 | 76% | — | $4 – $33 |
← Payers reporting CPT 80355 · Snapshot 20261112T181611Z-3fa9fb76