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
$6
Median
$4
High
$21
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 5.0× 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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20 hospital rates
iThe hospitals that file a Superior Healthplan 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 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX percent of total billed charges · outpatientfrom % of charges | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $6 | $6 | $5 | 75% | — | $2 – $11 |
| 3 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $6 | $6 | $4 | 75% | — | $1 – $10 |
| 4 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $2 | — | — | — | $2 – $2 |
| 5 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX percent of total billed charges · outpatientfrom % of charges | 5 | $1 | $1 | $0 | 35% | — | $1 – $1 |
| 7 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX percent of total billed charges · outpatientfrom % of charges | 5 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | MEDICAL CITY ALLIANCE HASLET, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX percent of total billed charges · outpatientfrom % of charges | 5 | $12 | $12 | $10 | 86% | — | $2 – $22 |
| 10 | MEDICAL CITY DECATUR DECATUR, TX percent of total billed charges · outpatientfrom % of charges | 5 | $9 | $9 | $5 | 53% | — | $4 – $14 |
| 11 | MEDICAL CITY DENTON Denton, TX percent of total billed charges · outpatientfrom % of charges | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 5 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | MEDICAL CITY LAS COLINAS Irving, TX percent of total billed charges · outpatientfrom % of charges | 5 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | MEDICAL CITY LEWISVILLE Lewisville, TX percent of total billed charges · outpatientfrom % of charges | 5 | $10 | $9 | $3 | 36% | — | $5 – $13 |
| 15 | MEDICAL CITY SURGERY CITY ALLIANCE FT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $2 | — | — | — | $2 – $2 |
| 16 | MEDICAL CITY WEATHERFORD Weatherford, TX percent of total billed charges · outpatientfrom % of charges | 5 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Medical City Argyle Argyle, TX percent of total billed charges · outpatientfrom % of charges | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 7 | $3 | $5 | $3 | 59% | — | $3 – $9 |
| 19 | TEXAS ORTHOPEDIC HOSPITAL HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | THE WOMANS HOSPITAL OF TEXAS HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS S0028 · Snapshot 20261111T120946Z-9134e7f7