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
$118
Average
$25.2k
Median
$28.1k
High
$116.4k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
125 hospitals; the 90th percentile is 173.9× 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 First Health 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 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 2 | $15.1k | $15.1k | $15.0k | 99% | 1–10 | $135 – $30.1k |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $45.3k | $45.3k | — | — | — | $45.3k – $45.3k |
| 5 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $45.3k | $45.3k | — | — | — | $45.3k – $45.3k |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $45.3k | $45.3k | — | — | — | $45.3k – $45.3k |
| 7 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $45.3k | $45.3k | — | — | — | $45.3k – $45.3k |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $47.9k | $47.9k | — | — | — | $47.9k – $47.9k |
| 9 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $47.9k | $47.9k | — | — | — | $47.9k – $47.9k |
| 10 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 1 | $44.3k | $44.3k | — | — | — | $44.3k – $44.3k |
| 11 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $44.3k | $44.3k | — | — | — | $44.3k – $44.3k |
| 12 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $837 | $837 | — | — | — | $837 – $837 |
| 13 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $837 | $837 | — | — | — | $837 – $837 |
| 14 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $837 | $837 | — | — | — | $837 – $837 |
| 15 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $837 | $837 | — | — | — | $837 – $837 |
| 16 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $837 | $837 | — | — | — | $837 – $837 |
| 17 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $837 | $837 | — | — | — | $837 – $837 |
| 18 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $17.5k | $17.5k | $17.2k | 98% | — | $277 – $34.7k |
| 19 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $39.5k | $39.5k | — | — | — | $39.5k – $39.5k |
| 20 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38.7k | $38.7k | — | — | — | $38.7k – $38.7k |
| 21 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $38.7k | $38.7k | — | — | — | $38.7k – $38.7k |
| 22 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 23 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 24 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $42.6k | $42.6k | — | — | — | $42.6k – $42.6k |
| 25 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $44.2k | $44.2k | — | — | — | $44.2k – $44.2k |
← Payers reporting HCPCS J3245 · Snapshot 20261111T120946Z-9134e7f7