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
Trimethobenzamide HCl 250mg
Low
$0
Average
$11
Median
$6
High
$98
Each hospital's average First Health rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 51.8× 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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30 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 6 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 9 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $6 | $0 | 3% | — | $6 – $6 |
| 12 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | $0 | 3% | — | $6 – $6 |
| 13 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 15 | Kaweah Health Medical Center Visalia, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Kaweah Health Medical Center Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 17 | Kaweah Health Mental Health Hospital Visalia, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 18 | Kaweah Health Mental Health Hospital Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 20 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 21 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | Pike Health Services Inc Waverly, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | St Tammany Hosptial Service District No 2 Slidell, LA other · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting HCPCS Q0173 · Snapshot 20261112T181611Z-3fa9fb76