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
$41
Median
$25
High
$167
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 10.2× 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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12 hospital rates
iThe hospitals that file a Wellmark 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $202 | $167 | $42 | 25% | — | $116 – $207 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $167 | $42 | 25% | — | $116 – $207 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · both | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 5 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $0 | 1% | — | $10 – $10 |
| 6 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · both | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Meriter Hospital, Inc Madison, WI percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $36 | $20 | 56% | — | $8 – $51 |
| 8 | Trinity Medical Center Rock Island, IL case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Unity Healthcare Muscatine, IA percent of total billed charges · inpatientfrom % of charges | 3 | $21 | $18 | $3 | 17% | — | $14 – $21 |
| 10 | UnityPoint Health - Jones Regional Medical Center Anamosa, IA percent of total billed charges · inpatientfrom % of charges | 3 | $45 | $45 | $0 | 0% | — | $45 – $46 |
| 11 | UnityPoint Health - Jones Regional Medical Center Anamosa, IA percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | $0 | 0% | — | $35 – $36 |
| 12 | UnityPoint Health Marshalltown Marshalltown, IA percent of total billed charges · inpatientfrom % of charges | 3 | $32 | $32 | $1 | 3% | — | $30 – $32 |
← Payers reporting HCPCS S0028 · Snapshot 20261111T120946Z-9134e7f7