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
$1
Average
$10
Median
$8
High
$25
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 19.2× 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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27 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 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $8 | $2 | 21% | — | $7 – $11 |
| 5 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $8 | $2 | 21% | — | $7 – $11 |
| 6 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $6 | $6 | $2 | 26% | — | $4 – $9 |
| 11 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $4 | $4 | $0 | 10% | — | $3 – $4 |
| 12 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 14 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 15 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 16 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 17 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $8 | $8 | $2 | 23% | — | $5 – $12 |
| 18 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · fee schedule · outpatient | 1 | $8 | $8 | $2 | 23% | — | $5 – $12 |
| 19 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $8 | $8 | $2 | 23% | — | $5 – $12 |
| 20 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 21 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 22 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | The Chester County Hospital West Chester, PA facility · fee schedule · outpatient | 1 | $8 | $8 | $2 | 23% | — | $5 – $12 |
| 25 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $8 | $8 | $2 | 25% | — | $5 – $12 |
← Payers reporting HCPCS Q0175 · Snapshot 20261111T120946Z-9134e7f7