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
EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET
Low
$0
Average
$99
Median
$5
High
$1.0k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 334.7× 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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59 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $531 | $531 | — | — | — | $531 – $531 |
| 2 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $504 | $504 | — | — | — | $504 – $504 |
| 4 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 5 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $831 | $831 | — | — | — | $831 – $831 |
| 6 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Chatham Hospital Siler City, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 8 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $192 | $309 | 160% | — | $10 – $727 |
| 9 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 10 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $518 | $518 | — | — | — | $518 – $518 |
| 12 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Independence Health System Frick Hospital Mt Plesant, PA fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | Johnston Health Services Corporation Smithfield, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 21 | Lenoir Memorial Hospital Kinston, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $232 | $312 | 134% | — | $11 – $673 |
| 24 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 25 | Memorial Hospital Miramar Miramar, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
← Payers reporting HCPCS J0750 · Snapshot 20261111T120946Z-9134e7f7