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
FAMOTIDINE PF/NSS 2 MG/ML IV SOLN (SPDIL) EXTEMP INJ
Low
$0
Average
$207
Median
$22
High
$4.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 367.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bcbs Il percent of total billed charges · bothfrom % of charges · +2 other terms | 12 | $18 | $29 | $28 | 97% | 6,510–7,104 | $0 – $90 |
| 2 | Wellmark fee schedule · outpatient · +15 other terms | 29 | $0 | $0 | — | — | 654–762 | $0 – $0 |
| 3 | Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms | 13 | $7 | $7 | $3 | 43% | 364–1,354 | $4 – $23 |
| 4 | WellCare other · outpatient · +15 other terms | 11 | $12 | $1.5k | $2.5k | 173% | 91–145 | $1 – $6.9k |
| 5 | Molina fee schedule · both · +21 other terms | 21 | $4 | $1 | $2 | 439% | 85–265 | $0 – $18 |
| 6 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 340 | $0 | $6 | $28 | 443% | 66–93 | $0 – $463 |
| 7 | Anthem fee schedule · outpatient · +22 other terms | 88 | $0 | $16 | $100 | 642% | 60–78 | $0 – $1.2k |
| 8 | Caresource fee schedule · outpatient · +16 other terms | 39 | $0 | $0 | $1 | 174% | 35–44 | $0 – $2 |
| 9 | Bcbs Sc percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | 24 | $3 – $3 |
| 10 | Kaiser fee schedule · both · +16 other terms | 42 | $0 | $0 | $0 | 100% | 15–150 | $0 – $0 |
| 11 | Aetna fee schedule · outpatient · +27 other terms | 134 | $0 | $60 | $211 | 353% | 2–20 | $0 – $1.6k |
| 12 | Florida Blue percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | $5 | 42% | 2–20 | $8 – $26 |
| 13 | Cigna fee schedule · outpatient · +23 other terms | 242 | $0 | $13 | $83 | 655% | — | $0 – $1.2k |
| 14 | Blue Cross Blue Shield fee schedule · outpatient · +31 other terms | 168 | $0 | $5 | $61 | 1170% | — | $0 – $1.2k |
| 15 | Humana fee schedule · outpatient · +22 other terms | 100 | $0 | $3 | $14 | 413% | — | $0 – $109 |
| 16 | MultiPlan fee schedule · inpatient · +15 other terms | 43 | $42 | $105 | $133 | 127% | — | $0 – $508 |
| 17 | Medcost facility · percent of total billed charges · bothfrom % of charges · +7 other terms | 33 | $30 | $27 | $29 | 106% | — | $1 – $86 |
| 18 | Highmark facility · fee schedule · outpatient · +16 other terms | 29 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Excellus facility · fee schedule · both · +8 other terms | 28 | $1 | $1 | $1 | 51% | — | $0 – $3 |
| 20 | Carefirst facility · fee schedule · both · +11 other terms | 27 | $1 | $1 | $1 | 50% | — | $1 – $3 |
| 21 | First Health fee schedule · outpatient · +13 other terms | 27 | $28 | $30 | $18 | 58% | — | $2 – $64 |
| 22 | Premera facility · fee schedule · both · +9 other terms | 27 | $1 | $1 | $1 | 49% | — | $1 – $3 |
| 23 | Regence facility · fee schedule · both · +13 other terms | 27 | $1 | $1 | $1 | 49% | — | $1 – $3 |
| 24 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 26 | $5 | $5 | $6 | 129% | — | $1 – $24 |
| 25 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms | 22 | $22 | $24 | $19 | 79% | — | $2 – $162 |
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