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
$39
Median
$30
High
$128
Each hospital's average Optum rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 14.3× 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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36 hospital rates
iThe hospitals that file a Optum 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 | $41 | $41 | — | — | — | $41 – $41 |
| 2 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 7 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 9 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 12 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 15 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 16 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 17 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 18 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 19 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 20 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | OCHSNER BAYOU LLC Raceland, LA other · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 25 | OCHSNER MEDICAL CENTER � HANCOCK LLC Bay St. Louis, MS other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
← Payers reporting HCPCS S0028 · Snapshot 20261111T120946Z-9134e7f7