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
$1.2k
Median
$33
High
$5.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 4020.9× 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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30 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 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 2 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 3 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 4 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $50 | $24 | 48% | — | $22 – $75 |
| 5 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $50 | $24 | 48% | — | $22 – $75 |
| 6 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | $11 | 17% | — | $55 – $78 |
| 10 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $28 | $30 | $15 | 49% | — | $13 – $53 |
| 13 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 14 | Newton Medical Center Newton, NJ other · outpatient | 2 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 15 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $33 | $33 | $5 | 15% | — | $28 – $38 |
| 16 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $33 | $33 | $5 | 15% | — | $28 – $38 |
| 17 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $33 | $33 | $5 | 15% | — | $28 – $38 |
| 18 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $33 | $33 | $5 | 15% | — | $28 – $38 |
| 19 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $33 | $33 | $5 | 15% | — | $28 – $38 |
| 20 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $13 | $6 | 45% | — | $4 – $21 |
| 21 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 22 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $34 | $39 | $22 | 56% | — | $13 – $81 |
| 23 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · fee schedule · outpatient | 1 | $34 | $39 | $22 | 56% | — | $13 – $81 |
| 24 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $34 | $39 | $22 | 56% | — | $13 – $81 |
| 25 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS Q0161 · Snapshot 20261111T120946Z-9134e7f7