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
$2
Average
$132
Median
$28
High
$972
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 152.4× 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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13 hospital rates
iThe hospitals that file a Phcs 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 | DOMINION HOSPITAL FALLS CHURCH, VA percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | $6 | 13% | — | $42 – $54 |
| 2 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | $44 | 55% | — | $37 – $125 |
| 3 | LEWISGALE HOSPITAL PULASKI PULASKI, VA percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | $5 | 19% | — | $23 – $33 |
| 4 | LEWISGALE MEDICAL CENTER ROANOKE, VA percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | $8 | 20% | — | $30 – $45 |
| 5 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $972 | $723 | 74% | — | $23 – $1.8k |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $972 | $723 | 74% | — | $23 – $1.8k |
| 7 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · inpatientfrom % of charges | 1 | $7 | $11 | $10 | 92% | — | $3 – $30 |
| 10 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $12 | $11 | 92% | — | $3 – $32 |
| 11 | USC Arcadia Hospital Arcadia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $4 | 55% | — | $3 – $11 |
| 12 | Westchester Medical Center Valhalla, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Westchester Medical Center Valhalla, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS S0136 · Snapshot 20261111T120946Z-9134e7f7