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.
Generation details were not recorded for this description.
Original text from hospital filings
Dextoamphetamine sulfate, 5 mg
Low
$2
Average
$97
Median
$92
High
$514
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 39.8× 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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28 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 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $514 | $170 | 33% | — | $344 – $684 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $7 | 7% | — | $87 – $104 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $98 | $99 | $6 | 6% | — | $91 – $107 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $97 | $98 | $7 | 7% | — | $89 – $107 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $96 | $96 | $8 | 8% | — | $87 – $107 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $94 | $95 | $10 | 10% | — | $83 – $107 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $91 | $10 | 11% | — | $79 – $104 |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $125 | $125 | $7 | 6% | — | $115 – $135 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $121 | $122 | $11 | 9% | — | $109 – $135 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $91 | $10 | 11% | — | $79 – $104 |
| 11 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 12 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 14 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $2 | 51% | — | $2 – $7 |
| 16 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 1% | — | $4 – $4 |
| 19 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 20 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | $76 | 43% | — | $103 – $256 |
| 21 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $91 | $10 | 11% | — | $79 – $104 |
| 22 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $91 | $10 | 11% | — | $79 – $104 |
| 23 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 2 | $92 | $92 | $9 | 10% | — | $81 – $104 |
| 24 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $92 | $10 | 11% | — | $80 – $104 |
| 25 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · inpatientfrom % of charges | 2 | $99 | $99 | $6 | 6% | — | $91 – $107 |
← Payers reporting HCPCS S0160 · Snapshot 20261112T181611Z-3fa9fb76