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
$7.0k
Median
$265
High
$50.5k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 170.5× 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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57 hospital rates
iThe hospitals that file a Medical Mutual 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 3 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 4 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $229 | $229 | $57 | 25% | — | $172 – $287 |
| 5 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $10.1k | $10.1k | $9.9k | 98% | — | $200 – $20.0k |
| 6 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $17.1k | $17.1k | $16.8k | 98% | — | $271 – $33.9k |
| 7 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 8 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 9 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $229 | $229 | $57 | 25% | — | $172 – $287 |
| 10 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $22.9k | $22.9k | — | — | — | $22.9k – $22.9k |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 13 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $229 | $229 | $57 | 25% | — | $172 – $287 |
| 14 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 15 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $229 | $229 | $57 | 25% | — | $172 – $287 |
| 16 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 17 | Kettering Medical Center Troy, OH fee schedule · outpatient | 2 | $229 | $229 | $57 | 25% | — | $172 – $287 |
| 18 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 2 | $229 | $229 | $57 | 25% | — | $172 – $287 |
| 19 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 2 | $229 | $229 | $57 | 25% | — | $172 – $287 |
| 20 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $370 | $370 | $30 | 8% | — | $340 – $400 |
| 21 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 1 | $28.0k | $28.0k | — | — | — | $28.0k – $28.0k |
| 22 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $28.3k | $28.3k | $184 | 1% | — | $28.1k – $28.6k |
| 23 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $28.3k | $28.3k | $184 | 1% | — | $28.1k – $28.6k |
| 24 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $28.1k | $28.1k | $74 | 0% | — | $28.0k – $28.1k |
| 25 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $28.1k | $28.2k | $250 | 1% | — | $28.0k – $28.6k |
← Payers reporting HCPCS J3245 · Snapshot 20261111T120946Z-9134e7f7