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
CLOZAPINE 100 MG ORAL TAB [9647]
Low
$0
Average
$33
Median
$7
High
$520
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
47 payers; the 90th percentile is 88.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna fee schedule · outpatient · +12 other terms | 184 | $1 | $2 | $1 | 70% | — | $1 – $6 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 162 | $2 | $2 | $1 | 66% | — | $1 – $9 |
| 3 | Aetna fee schedule · outpatient · +13 other terms | 100 | $1 | $1 | $1 | 67% | — | $1 – $7 |
| 4 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +5 other terms | 97 | $24 | $31 | $29 | 96% | — | $1 – $159 |
| 5 | Humana fee schedule · outpatient · +11 other terms | 71 | $3 | $5 | $3 | 65% | — | $1 – $10 |
| 6 | Kaiser fee schedule · both · +6 other terms | 43 | $2 | $1 | $0 | 27% | — | $1 – $2 |
| 7 | Anthem facility · fee schedule · outpatient · +11 other terms | 39 | $2 | $2 | $2 | 96% | — | $1 – $15 |
| 8 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $2 | $2 | $1 | 34% | — | $1 – $3 |
| 9 | UnitedHealthcare fee schedule · both · +17 other terms | 27 | $1 | $9 | $43 | 481% | — | $1 – $283 |
| 10 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 21 | $3 | $19 | $42 | 220% | — | $1 – $181 |
| 11 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 20 | $2 | $4 | $4 | 114% | — | $0 – $14 |
| 12 | Highmark facility · fee schedule · outpatient · +5 other terms | 19 | $7 | $8 | $5 | 60% | — | $1 – $20 |
| 13 | Caresource facility · case rate · outpatient · +5 other terms | 15 | $48 | $52 | $12 | 23% | — | $32 – $82 |
| 14 | Molina facility · case rate · outpatient · +6 other terms | 15 | $47 | $52 | $12 | 23% | — | $33 – $80 |
| 15 | Medicaid facility · percent of total billed charges · outpatientfrom % of charges | 14 | $1 | $1 | $0 | 25% | — | $1 – $3 |
| 16 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms | 13 | $6 | $20 | $24 | 118% | — | $1 – $72 |
| 17 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 13 | $80 | $89 | $74 | 84% | — | $1 – $291 |
| 18 | Wellmark fee schedule · both · +2 other terms | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1 | $1 | $0 | 29% | — | $1 – $2 |
| 20 | Bcbs Nj fee schedule · outpatient · +1 other terms | 12 | $1 | $1 | $0 | 19% | — | $1 – $1 |
| 21 | Devoted facility · percent of total billed charges · outpatientfrom % of charges | 12 | $4 | $9 | $15 | 169% | — | $1 – $65 |
| 22 | Optum facility · case rate · outpatient · +3 other terms | 11 | $45 | $49 | $11 | 22% | — | $40 – $73 |
| 23 | Medcost percent of total billed charges · outpatientfrom % of charges | 10 | $14 | $17 | $16 | 91% | — | $4 – $60 |
| 24 | Medica fee schedule · outpatient · +9 other terms | 10 | $1 | $1 | $0 | 25% | — | $1 – $2 |
| 25 | WellCare percent of total billed charges · outpatientfrom % of charges · +2 other terms | 8 | $4 | $6 | $6 | 97% | — | $1 – $29 |
← Hospitals reporting HCPCS S0136 · Snapshot 20261111T120946Z-9134e7f7