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
$43
Median
$54
High
$130
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 193.9× 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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80 hospital rates
iThe hospitals that file a MultiPlan 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 7 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 13 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 14 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 15 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 2 | $76 | $76 | $8 | 10% | — | $68 – $83 |
| 16 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $76 | $8 | 10% | — | $68 – $83 |
| 17 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · inpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 20 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 21 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 22 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 23 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 24 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 25 | Geisinger Community Medical Center Scranton, PA percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
← Payers reporting HCPCS A9154 · Snapshot 20261111T120946Z-9134e7f7