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
$3
Median
$2
High
$6
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 2.2× 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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9 hospital rates
iThe hospitals that file a Tricare 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 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | $4 | 72% | — | $2 – $11 |
| 2 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Mercy Hospital Logan County Inc Guthrie, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $3 | $1 | 33% | — | $2 – $4 |
| 5 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Mercy Hospital Tishomingo Inc Tishomingo, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS S0136 · Snapshot 20261111T120946Z-9134e7f7