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 DRUG/SUBSTANCE NOS 1-3
Low
$2
Average
$70
Median
$35
High
$343
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
68 hospitals; the 90th percentile is 8.2× 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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74 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $117 | $136 | $56 | 42% | — | $73 – $256 |
| 2 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $132 | $152 | $64 | 42% | — | $73 – $256 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $117 | $136 | $56 | 42% | — | $73 – $256 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $139 | $158 | $62 | 39% | — | $73 – $256 |
| 5 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $120 | $136 | $55 | 40% | — | $73 – $256 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $3 | $2 | $1 | 31% | — | $1 – $3 |
| 8 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $3 | $2 | $1 | 31% | — | $1 – $3 |
| 9 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 11 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $120 | $167 | $134 | 80% | — | $73 – $639 |
| 12 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 14 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $120 | $136 | $55 | 40% | — | $73 – $256 |
| 15 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 16 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 17 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 18 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $301 | $223 | $124 | 56% | — | $47 – $320 |
| 19 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 20 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $117 | $136 | $56 | 42% | — | $73 – $256 |
| 21 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 22 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 24 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 25 | Mercy Hospital Columbus Columbus, KS facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
← Payers reporting CPT 80375 · Snapshot 20261112T181611Z-3fa9fb76