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
INJ FAMOTIDINE 20 MG
Low
$1
Average
$36
Median
$3
High
$4.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
243 hospitals; the 90th percentile is 60.5× 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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282 hospital rates
iThe hospitals that file a Aetna 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 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $16 | $2 | 13% | 4–40 | $12 – $18 |
| 2 | Mission Regional Medical Center Mission, TX percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | 2–20 | $11 – $11 |
| 3 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 1 | $38.7k | $38.7k | — | — | 1–10 | $38.7k – $38.7k |
| 4 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 5 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $2 | $2 | $0 | 12% | — | $2 – $2 |
| 7 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $45 | $0 | 0% | — | $45 – $45 |
| 12 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 2 | $110 | $94 | $24 | 25% | — | $63 – $119 |
| 13 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $110 | $110 | $37 | 33% | — | $63 – $176 |
| 14 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Aurora Medical Center Fond du Lac Fond Du Lac, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Aurora Medical Center Grafton Grafton, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Aurora Medical Center Kenosha Kenosha, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Aurora Medical Center Manitowoc Two Rivers, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Aurora Medical Center Oshkosh Oshkosh, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Aurora Medical Center Sheboygan County Sheboygan, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Aurora Medical Center Summit Summit, WI fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS S0028 · Snapshot 20261111T120946Z-9134e7f7