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
$2
Median
$1
High
$5
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6 hospital rates
iThe hospitals that file a Medicaid 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 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 28% | — | $1 – $1 |
| 2 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 28% | — | $1 – $1 |
| 3 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 28% | — | $1 – $1 |
| 5 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | $1 | 14% | — | $4 – $5 |
← Payers reporting HCPCS S0028 · Snapshot 20261111T120946Z-9134e7f7