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
$31
Median
$13
High
$265
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 89.7× 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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84 hospital rates
iThe hospitals that file a Anthem 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 | $46 | $46 | — | — | — | $46 – $46 |
| 2 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 13% | — | $1 – $1 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 4 | $2 | $2 | $0 | 13% | — | $2 – $2 |
| 6 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · fee schedule · outpatient | 4 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 10 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 14 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 16 | Cleveland Clinic Mercy Hospital Canton, OH facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Deaconess Health System Gibson General Hospital Princeton, IN facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Deaconess Health System Henderson Hospital Henderson, KY facility · fee schedule · outpatient | 4 | $1 | $1 | $0 | 8% | — | $1 – $2 |
| 19 | Deaconess Health System Union County Hospital Morganfield, KY facility · fee schedule · outpatient | 4 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | Deaconess Hospital, Inc Newburgh, IN facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 24 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 25 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 3 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS S0028 · Snapshot 20261111T120946Z-9134e7f7