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
$5
Average
$98
Median
$49
High
$514
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 11.0× 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.
Filter by billing methodology
Filter by billing class
57 hospital rates
iThe hospitals that file a Wellmark 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 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 5 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $28 | $28 | $1 | 5% | — | $26 – $29 |
| 7 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $42 | $78 | $86 | 111% | — | $5 – $224 |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 10 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 12 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | $27 | 34% | — | $51 – $104 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 14 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 15 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Meriter Hospital, Inc Madison, WI percent of total billed charges · bothfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 17 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $229 | $229 | — | — | — | $229 – $229 |
| 18 | Monument Health Network Inc Spearfish, SD other · outpatient | 1 | $10 | $10 | $1 | 10% | — | $9 – $11 |
| 19 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | $3 | 54% | — | $2 – $9 |
| 20 | Monument Health Rapid City Hospital Inc City, SD other · outpatient | 1 | $10 | $10 | $1 | 10% | — | $9 – $11 |
| 21 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 22 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 23 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 24 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 25 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
← Payers reporting CPT 80355 · Snapshot 20261112T181611Z-3fa9fb76