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
AZITHROMYCIN 250 MG TABLET
Low
$1
Average
$29
Median
$13
High
$210
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 11.8× 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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44 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 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $8 | $11 | $10 | 87% | — | $2 – $24 |
| 3 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 5 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3 | $3 | $1 | 23% | — | $2 – $4 |
| 6 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $3 | $1 | 23% | — | $2 – $3 |
| 7 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 8 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 11 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $109 | $72 | 66% | — | $12 – $186 |
| 12 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $12 | $12 | $0 | 0% | — | $12 – $12 |
| 13 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $12 | $12 | $0 | 0% | — | $12 – $12 |
| 14 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 17 | Mercy Hospital Columbus Columbus, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | $49 | 90% | — | $5 – $104 |
| 18 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $5 | 68% | — | $2 – $12 |
| 19 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | $4 | 70% | — | $2 – $11 |
| 20 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $17 | 75% | — | $6 – $39 |
| 21 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $11 | $6 | 57% | — | $2 – $16 |
| 22 | Mercy Hospital Kingfisher, Inc Kingfisher, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | $15 | 79% | — | $4 – $33 |
| 23 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $0 | 4% | — | $4 – $5 |
| 24 | Mercy Hospital Logan County Inc Guthrie, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | $7 | 79% | — | $2 – $16 |
| 25 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $5 | 70% | — | $2 – $12 |
← Payers reporting HCPCS Q0144 · Snapshot 20261111T120946Z-9134e7f7