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
PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A)
Low
$1
Average
$22
Median
$1
High
$2.0k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
221 hospitals; the 90th percentile is 9.0× 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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236 hospital rates
iThe hospitals that file a Humana 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 | St. Peter's Health Helena, MT fee schedule · outpatient | 1 | $11 | $11 | — | — | 50 | $11 – $11 |
| 2 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | CHIPPENHAM HOSPITAL RICHMOND, VA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 7 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Children's Hospital San Antonio, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | $325 | 16% | — | $1.6k – $2.4k |
| 16 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | $325 | 16% | — | $1.6k – $2.4k |
| 17 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | $325 | 16% | — | $1.6k – $2.4k |
| 18 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | $325 | 16% | — | $1.6k – $2.4k |
| 19 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | DOMINION HOSPITAL FALLS CHURCH, VA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS J0887 · Snapshot 20261111T120946Z-9134e7f7