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
$26
Average
$158
Median
$157
High
$1.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 1.7× 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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125 hospital rates
iThe hospitals that file a Tricare 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 | San Juan Hospital Spanish Valley, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 3 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 9 | $157 | $151 | $12 | 8% | — | $125 – $157 |
| 4 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both | 3 | $157 | $157 | — | — | — | $157 – $157 |
| 5 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 6 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 7 | Boston Medical Center Boston, MA fee schedule · both | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 8 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 9 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 10 | CORNING HOSPITAL Corning, NY facility · fee schedule · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 11 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 13 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 14 | Centinela Hospital Medical Center Inglewood, CA fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 15 | CentraState Medical Center Freehold Township, NJ fee schedule · both | 2 | $149 | $149 | $8 | 5% | — | $141 – $157 |
| 16 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $149 | $149 | $8 | 5% | — | $141 – $157 |
| 17 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $119 | $260 | $226 | 87% | — | $81 – $579 |
| 18 | Chilton Medical Center Pompton Plains, NJ fee schedule · both | 2 | $153 | $153 | $3 | 2% | — | $150 – $157 |
| 19 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 2 | $153 | $153 | $3 | 2% | — | $150 – $157 |
| 20 | Chino Valley Medical Center Chino, CA fee schedule · outpatient | 2 | $157 | $157 | — | — | — | $157 – $157 |
| 21 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 22 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 23 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 24 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 25 | Desert Valley Hospital Victorville, CA fee schedule · outpatient | 2 | $157 | $157 | — | — | — | $157 – $157 |
← Payers reporting HCPCS G0481 · Snapshot 20261111T120946Z-9134e7f7