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
$37
Median
$2
High
$763
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
104 hospitals; the 90th percentile is 10978.5× 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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199 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | 462 | $0 – $0 |
| 2 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $1 | $1 | — | — | 60 | $1 – $1 |
| 3 | Avera St. Mary's Hospital Pierre, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 60 | $0 – $0 |
| 4 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $1 | $1 | — | — | 50 | $1 – $1 |
| 5 | Avera Queen of Peace Mitchell, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 50 | $0 – $0 |
| 6 | Sioux Center Health Sioux Center, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 44 | $0 – $0 |
| 7 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $1 | $1 | — | — | 37 | $1 – $1 |
| 8 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | 37 | $134 – $134 |
| 9 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $1 | $1 | — | — | 26 | $1 – $1 |
| 10 | Avera St. Luke's Aberdeen, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 26 | $0 – $0 |
| 11 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $1 | $1 | $0 | 11% | 23–32 | $1 – $1 |
| 12 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $302 | $302 | — | — | 13 | $302 – $302 |
| 13 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $219 | $219 | $80 | 36% | 13 | $139 – $299 |
| 14 | Avera Heart Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 15 | Avera Holy Family Hospital Estherville, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 16 | Avera Merrill Pioneer Rock Rapids, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 17 | Freeman Regional Health Svcs. Freeman, SD outpatient | 1 | $152 | $152 | — | — | 2–20 | $152 – $152 |
| 18 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · outpatientfrom % of charges | 1 | $235 | $235 | $83 | 35% | 2–20 | $152 – $318 |
| 19 | Lakes Regional Hospital Spirit Lake, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 20 | Osceola Regional Health Center Sibley, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 21 | Regional Health Services of Howard County Cresco, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 22 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
| 23 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $143 | $143 | — | — | 1–10 | $143 – $143 |
| 24 | Avera Dell Rapids Hospital Dell Rapids, SD outpatient | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 25 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
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