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
$3
Average
$128
Median
$9
High
$1.6k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 7.2× 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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14 hospital rates
iThe hospitals that file a Ambetter 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 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 2 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | OCHSNER MEDICAL CENTER � HANCOCK LLC Bay St. Louis, MS other · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 12 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | $0 | 1% | — | $29 – $30 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | $0 | 1% | — | $29 – $30 |
| 14 | St. Vincent Regional Medical Center Santa Fe, NM percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
← Payers reporting HCPCS S0028 · Snapshot 20261111T120946Z-9134e7f7