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
$5
Median
$3
High
$22
Each hospital's average Molina rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 29.3× 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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148 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | $0 | 47% | — | $0 – $0 |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $12 | $15 | $7 | 44% | — | $9 – $25 |
| 4 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $6 | $3 | 44% | — | $4 – $10 |
| 5 | BRONXCARE HEALTH SYSTEM Bronx, NY other · both | 2 | $0 | $0 | $0 | 81% | — | $0 – $1 |
| 6 | BRONXCARE HEALTH SYSTEM Bronx, NY other · inpatient | 2 | $0 | $0 | $0 | 69% | — | $0 – $1 |
| 7 | BRONXCARE HEALTH SYSTEM Bronx, NY other · both | 2 | $0 | $0 | $0 | 81% | — | $0 – $1 |
| 8 | BRONXCARE HEALTH SYSTEM Bronx, NY other · inpatient | 2 | $0 | $0 | $0 | 69% | — | $0 – $1 |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 10 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · inpatientfrom % of charges | 2 | $3 | $2 | $1 | 34% | — | $1 – $4 |
| 16 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $2 | $1 | 34% | — | $1 – $4 |
| 17 | Carle Eureka Hospital Eureka, IL percent of total billed charges · inpatientfrom % of charges | 2 | $3 | $2 | $1 | 34% | — | $1 – $4 |
| 18 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $4 | $2 | 56% | — | $1 – $10 |
| 19 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | $0 | 12% | — | $1 – $1 |
| 21 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · inpatient | 1 | $6 | $7 | $5 | 71% | — | $2 – $15 |
| 22 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 3 | $4 | $6 | $5 | 81% | — | $1 – $17 |
| 23 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | FLAGET HEALTHCARE, INC Bardstown, KY fee schedule · outpatient | 1 | $7 | $14 | $11 | 75% | — | $7 – $29 |
| 25 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS Q0175 · Snapshot 20261111T120946Z-9134e7f7