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
AMLODIPINE 1 MG/ML RX COMPOUNDED PO SUSP
Low
$0
Average
$637
Median
$58
High
$2.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 538.2× 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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23 hospital rates
iThe hospitals that file a Tricare 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 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $17 | $59 | $122 | 207% | 1–10 | $1 – $924 |
| 2 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $31 | $63 | $86 | 136% | — | $19 – $609 |
| 3 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $63 | $86 | 136% | — | $19 – $609 |
| 4 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $118 | $196 | $267 | 136% | — | $1 – $977 |
| 5 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | $32 | 97% | — | $1 – $64 |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | $32 | 97% | — | $1 – $64 |
| 9 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $10 | $56 | $290 | 516% | — | $4 – $6.9k |
| 10 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $30 | $63 | 210% | — | $4 – $705 |
| 11 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $379 | $379 | $125 | 33% | — | $254 – $504 |
| 13 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $1 | $20 | $34 | 170% | — | $0 – $95 |
| 14 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $8 | $28 | 375% | — | $1 – $579 |
| 15 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $70 | $2.1k | $4.7k | 223% | — | $4 – $20.5k |
| 16 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · fee schedule · outpatient | 1 | $70 | $2.1k | $4.7k | 223% | — | $4 – $20.5k |
| 17 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $70 | $2.1k | $4.7k | 223% | — | $4 – $20.5k |
| 18 | ST MARTIN HOSPITAL INC Breaux Bridge, LA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $15 | $34 | 221% | — | $2 – $343 |
| 19 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | The Chester County Hospital West Chester, PA facility · fee schedule · outpatient | 1 | $70 | $2.1k | $4.7k | 223% | — | $4 – $20.5k |
| 22 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $372 | $2.3k | $4.8k | 206% | — | $4 – $21.3k |
| 23 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $1 | $20 | $34 | 170% | — | $0 – $95 |
← Payers reporting HCPCS J8499 · Snapshot 20261111T120946Z-9134e7f7