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
SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH
Low
$0
Average
$96
Median
$39
High
$2.0k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 7.8× 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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46 hospital rates
iThe hospitals that file a Humana 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 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Carolinas Medical Center Davidson, NC percent of total billed charges · inpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $19 | 62% | — | $11 – $49 |
| 5 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 2 | $67 | $67 | $5 | 8% | — | $61 – $72 |
| 6 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 10 | Greeneville Community Hospital GREENEVILLE, TN fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 11 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 12 | Hawkins County Memorial Hospital ROGERSVILLE, TN fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 13 | High Point Regional Health High Point, NC percent of total billed charges · inpatientfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 14 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 15 | Holston Valley Medical Center KINGSPORT, TN fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 16 | Hoopeston Community Memorial Hospital Hoopeston, IL per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 21 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | — | — | — | $28 – $28 |
| 22 | Indian Path Community Hospital KINGSPORT, TN fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 23 | Johnston Memorial Hospital ABINGDON, VA fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 24 | Lee County Community Hospital PENNINGTON GAP, VA percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 25 | Lexington Medical Center Lexington, NC percent of total billed charges · inpatientfrom % of charges | 1 | $127 | $127 | — | — | — | $127 – $127 |
← Payers reporting HCPCS A9154 · Snapshot 20261111T120946Z-9134e7f7