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
OMADACYCLINE 100 MG IV SOLR [174171]
Low
$3
Average
$401
Median
$4
High
$2.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 366.0× 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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30 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 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 7 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 19 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $653 | $653 | — | — | — | $653 – $653 |
| 20 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $1.3k | $1.3k | $1.3k | 98% | — | $26 – $2.6k |
| 23 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $1.3k | $1.3k | $1.3k | 98% | — | $26 – $2.6k |
| 24 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $1.3k | $1.3k | $1.3k | 98% | — | $26 – $2.6k |
| 25 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $1.3k | $1.3k | $1.3k | 98% | — | $26 – $2.6k |
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