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
TETRACYCLINE UP TO 250MG
Low
$9
Average
$75
Median
$21
High
$554
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 18 hospitals; the 90th percentile is 9.8× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Methodist Specialty And Transplant SAN ANTONIO, TX | $20 | $22 | $12 | 57% | — | $3 – $51 |
| 2 | Methodist Hospital SAN ANTONIO, TX | $19 | $22 | $13 | 59% | — | $3 – $51 |
| 3 | Allina Health Systems St Paul, MN | $85 | $78 | $25 | 33% | — | $24 – $117 |
| 4 | Methodist Texsan Hospital SAN ANTONIO, TX | $18 | $18 | $12 | 66% | — | $3 – $44 |
| 5 | Acadian Medical Center EUNICE, LA | $685 | $554 | $206 | 37% | — | $129 – $685 |
| 6 | Methodist Hospital Stone Oak San Antonio, TX | $19 | $20 | $13 | 64% | — | $3 – $44 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL | $25 | $24 | $6 | 24% | — | $15 – $29 |
| 8 | The Cleveland Clinic Foundation Cleveland, OH | $325 | $317 | $81 | 26% | — | $127 – $500 |
| 9 | Allina Health Systems Rapids, MN | $78 | $72 | $23 | 33% | — | $24 – $98 |
| 10 | Covenant Medical Center Inc Saginaw, MI | $8 | $9 | $2 | 25% | — | $7 – $14 |
Ask Claude or any MCP client for HCPCS J0120 pricing at a specific hospital — see how to connect.