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
chlorproMAZINE 25 mg Tab
Low
$1
Average
$52
Median
$3
High
$912
Each hospital's average Premera rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 25.3× 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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37 hospital rates
iThe hospitals that file a Premera 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $3 | $3 | $2 | 74% | — | $1 – $7 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $4 | $4 | $3 | 60% | — | $2 – $7 |
| 3 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $4 | $4 | $3 | 60% | — | $2 – $7 |
| 4 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $4 | $8 | $5 | 62% | — | $4 – $14 |
| 5 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 9 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $9 | $16 | $14 | 87% | — | $4 – $37 |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $2 | $2 | $1 | 33% | — | $1 – $3 |
| 11 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 12 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $2 | $2 | $1 | 69% | — | $0 – $4 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 14 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 15 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 16 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 17 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 18 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $25 | $38 | $34 | 89% | — | $5 – $98 |
| 19 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $9 | $16 | $14 | 87% | — | $4 – $37 |
| 20 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $482 | $912 | $950 | 104% | — | $22 – $2.6k |
| 21 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | $0 | 30% | — | $1 – $1 |
| 24 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $2 | $3 | $3 | 87% | — | $1 – $7 |
| 25 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 1 | $4 | $4 | $3 | 60% | — | $2 – $7 |
← Payers reporting HCPCS Q0161 · Snapshot 20261111T120946Z-9134e7f7