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
$3
Median
$0
High
$18
Each hospital's average Clover rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 790.7× 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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12 hospital rates
iThe hospitals that file a Clover 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 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $1 | $1 | 100% | 1–10 | $0 – $2 |
| 2 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $8 | $6 | 70% | — | $5 – $24 |
| 11 | The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $7 | $6 | 81% | — | $4 – $24 |
| 12 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $15 | $18 | $12 | 66% | — | $4 – $33 |
← Payers reporting HCPCS J1308 · Snapshot 20261111T120946Z-9134e7f7