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
$8
Average
$166
Median
$121
High
$582
Each hospital's average Optum rate, under the methodology and billing class chosen below.
73 hospitals; the 90th percentile is 12.4× 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 Optum 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 2 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 3 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 5 | Banner Churchill Community Hospital Fallon, NV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $71 | $24 | 33% | — | $47 – $104 |
| 6 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $321 | $383 | $182 | 47% | — | $200 – $915 |
| 7 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $321 | $383 | $182 | 47% | — | $200 – $915 |
| 8 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $568 | $562 | $152 | 27% | — | $373 – $745 |
| 9 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 14 | Dukes Health System LLC Peru, IN facility · per diem · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 15 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $245 | $279 | 114% | — | $18 – $979 |
| 16 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 17 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 2 | $57 | $79 | $63 | 80% | — | $35 – $304 |
| 18 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 19 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $92 | $8 | 9% | — | $86 – $103 |
| 20 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 21 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 22 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 23 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $11 | $16 | $9 | 55% | — | $11 – $32 |
| 24 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 25 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
← Payers reporting CPT 80375 · Snapshot 20261112T181611Z-3fa9fb76