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
DRUG SCRN DEF 9+CL NONCHR
Low
$11
Average
$207
Median
$98
High
$800
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 41.8× 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.
Filter by billing methodology
Filter by billing class
23 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 | Lowell General Hospital Lowell, MA other · both | 1 | $800 | $800 | — | — | 1–10 | $800 – $800 |
| 2 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 3 | $121 | $121 | — | — | — | $121 – $121 |
| 3 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 6 | $196 | $196 | $134 | 68% | — | $62 – $330 |
| 4 | Boston Medical Center Boston, MA fee schedule · both | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 7 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 8 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 11 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | $22 | 59% | — | $15 – $59 |
| 12 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $370 | $442 | $108 | 24% | — | $347 – $590 |
| 13 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 14 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 15 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 16 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $800 | $800 | — | — | — | $800 – $800 |
| 17 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $800 | $800 | — | — | — | $800 – $800 |
| 18 | MINDEN MEDICAL CENTER MINDEN, LA fee schedule · both | 16 | $157 | $157 | — | — | — | $157 – $157 |
| 19 | MINDEN MEDICAL CENTER MINDEN, LA percent of total billed charges · bothfrom % of charges | 16 | $64 | $64 | — | — | — | $64 – $64 |
| 20 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | $39 | 59% | — | $27 – $105 |
| 23 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $800 | $800 | — | — | — | $800 – $800 |
← Payers reporting HCPCS G0481 · Snapshot 20261111T120946Z-9134e7f7