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
ACETAMINOPHEN IV 1000MG/100ML
Low
$0
Average
$22
Median
$0
High
$187
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 1866.6× 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
17 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 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 8 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 9 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | ROANE COUNTY MEDICAL CENTER Harriman, TN fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J0138 · Snapshot 20261111T120946Z-9134e7f7