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
TILDRAK 100MG/1ML PFSJWTB
Low
$65
Average
$7.7k
Median
$4.1k
High
$46.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 payers; the 90th percentile is 161.8× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +24 other terms | 389 | $147 | $556 | $4.1k | 733% | 1–10 | $1 – $60.3k |
| 2 | Cigna fee schedule · outpatient · +19 other terms | 356 | $192 | $744 | $3.7k | 502% | 1–10 | $0 – $48.4k |
| 3 | Humana fee schedule · outpatient · +19 other terms | 353 | $128 | $1.0k | $5.2k | 504% | 1–10 | $1 – $91.4k |
| 4 | Anthem fee schedule · outpatient · +22 other terms | 124 | $176 | $387 | $2.4k | 624% | 1–10 | $118 – $51.3k |
| 5 | Wellmark fee schedule · outpatient · +9 other terms | 22 | $131 | $132 | $3 | 2% | 1–10 | $126 – $140 |
| 6 | First Health fee schedule · outpatient · +13 other terms | 9 | $15.1k | $20.3k | $19.3k | 95% | 1–10 | $126 – $52.9k |
| 7 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 608 | $199 | $1.1k | $6.0k | 560% | — | $1 – $65.3k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 354 | $217 | $1.2k | $5.7k | 466% | — | $1 – $63.3k |
| 9 | Molina fee schedule · outpatient · +20 other terms | 132 | $159 | $452 | $2.3k | 502% | — | $1 – $26.0k |
| 10 | WellCare fee schedule · outpatient · +13 other terms | 131 | $129 | $145 | $46 | 32% | — | $119 – $312 |
| 11 | Caresource fee schedule · outpatient · +12 other terms | 82 | $159 | $255 | $1.1k | 440% | — | $1 – $15.4k |
| 12 | Kaiser fee schedule · outpatient · +14 other terms | 68 | $177 | $1.4k | $5.5k | 402% | — | $95 – $42.9k |
| 13 | Devoted fee schedule · outpatient · +6 other terms | 66 | $129 | $129 | $9 | 7% | — | $116 – $148 |
| 14 | Ambetter facility · fee schedule · outpatient · +12 other terms | 52 | $219 | $242 | $64 | 26% | — | $127 – $340 |
| 15 | Medica fee schedule · outpatient · +14 other terms | 47 | $2.3k | $11.7k | $21.0k | 179% | — | $5 – $63.9k |
| 16 | MultiPlan fee schedule · outpatient · +13 other terms | 43 | $12.4k | $20.0k | $25.3k | 127% | — | $126 – $65.3k |
| 17 | Optum fee schedule · outpatient · +11 other terms | 35 | $125 | $163 | $70 | 43% | — | $113 – $355 |
| 18 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $529 | $492 | $221 | 45% | — | $125 – $948 |
| 19 | Clover fee schedule · outpatient · +4 other terms | 29 | $142 | $135 | $12 | 9% | — | $121 – $157 |
| 20 | Medicare fee schedule · outpatient · +8 other terms | 28 | $125 | $131 | $2 | 2% | — | $121 – $136 |
| 21 | Highmark facility · fee schedule · outpatient · +7 other terms | 26 | $176 | $248 | $174 | 70% | — | $97 – $922 |
| 22 | Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms | 25 | $127 | $935 | $3.5k | 376% | — | $121 – $16.5k |
| 23 | Healthpartners fee schedule · outpatient · +7 other terms | 25 | $159 | $568 | $2.8k | 498% | — | $121 – $20.0k |
| 24 | Oscar facility · fee schedule · outpatient · +12 other terms | 25 | $162 | $178 | $35 | 20% | — | $124 – $251 |
| 25 | Aetna Better Health fee schedule · outpatient · +10 other terms | 23 | $142 | $138 | $13 | 10% | — | $127 – $165 |
← Hospitals reporting HCPCS J3245 · Snapshot 20261111T120946Z-9134e7f7