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
Perphenazine 4mg oral
Low
$0
Average
$25
Median
$1
High
$763
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 10.0× 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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36 hospital rates
iThe hospitals that file a Carefirst 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 | $1 | $1 | $0 | 34% | — | $0 – $1 |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | $0 | 8% | — | $4 – $5 |
| 3 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | $2 | 32% | — | $3 – $7 |
| 4 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $7 | $7 | $1 | 9% | — | $6 – $8 |
| 5 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $1 | 9% | — | $6 – $8 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 10 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 11 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $10 | $10 | $3 | 33% | — | $7 – $13 |
| 12 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $3 | $4 | $3 | 61% | — | $2 – $9 |
| 20 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $3 | $3 | $1 | 33% | — | $2 – $4 |
| 21 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $2 | $3 | $1 | 35% | — | $2 – $4 |
| 23 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $1 | $1 | $0 | 36% | — | $1 – $1 |
| 24 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS Q0175 · Snapshot 20261111T120946Z-9134e7f7