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
$1
Average
$13
Median
$3
High
$93
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 12.7× 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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31 hospital rates
iThe hospitals that file a Ambetter 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 | LAFAYETTE REGIONAL HEALTH CENTER Lexington, MO percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 44% | — | $0 – $1 |
| 2 | Mercy Hospital Ada Inc Ada, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $4 | $3 | 65% | — | $2 – $9 |
| 3 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $1 | 35% | — | $2 – $4 |
| 8 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Mercy Hospital Logan County Inc Guthrie, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $4 | $1 | 33% | — | $3 – $6 |
| 12 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Mercy Hospital Tishomingo Inc Tishomingo, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | TRISTAR ASHLAND CITY MEDICAL CENTER Ashland City, TN percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | TRISTAR CENTENNIAL MEDICAL CENTER NASHVILLE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $9 | 44% | — | $11 – $28 |
| 22 | TRISTAR HENDERSONVILLE MEDICAL CENTER PORTLAND, TN percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 23 | TRISTAR HORIZON MEDICAL CENTER DICKSON, TN percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | $2 | 30% | — | $4 – $8 |
| 24 | TRISTAR SKYLINE MEDICAL CENTER NASHVILLE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $3 | 42% | — | $4 – $10 |
| 25 | TRISTAR SOUTHERN HILLS MEDICAL CENTER Nolensville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $1 | 14% | — | $6 – $8 |
← Payers reporting HCPCS S0136 · Snapshot 20261111T120946Z-9134e7f7