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
Prescription drug,brand name
Low
$13
Average
$399
Median
$511
High
$804
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
82 hospitals; the 90th percentile is 17.2× 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.
Filter by billing methodology
Filter by billing class
82 hospital rates
iThe hospitals that file a Aetna 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 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $473 | $473 | $227 | 48% | — | $246 – $701 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $40 | $40 | $0 | 1% | — | $39 – $40 |
| 3 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 2 | $505 | $505 | $281 | 56% | — | $224 – $787 |
| 4 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 2 | $804 | $804 | — | — | — | $804 – $804 |
| 5 | CENTERPOINT MEDICAL CENTER Independence, MO percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 6 | CHIPPENHAM HOSPITAL RICHMOND, VA percent of total billed charges · outpatientfrom % of charges | 1 | $621 | $621 | — | — | — | $621 – $621 |
| 7 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 2 | $39 | $39 | — | — | — | $39 – $39 |
| 8 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 2 | $39 | $39 | — | — | — | $39 – $39 |
| 9 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 2 | $39 | $39 | — | — | — | $39 – $39 |
| 10 | HCA FLORIDA FORT WALTON-DESTIN HOSPITAL FT WALTON BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $275 | $275 | $172 | 63% | — | $103 – $447 |
| 11 | HCA FLORIDA GULF COAST HOSPITAL PANAMA CITY BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $275 | $275 | $172 | 63% | — | $103 – $447 |
| 12 | HCA FLORIDA KENDALL HOSPITAL MIAMI, FL percent of total billed charges · outpatientfrom % of charges | 2 | $504 | $504 | $315 | 63% | — | $188 – $819 |
| 13 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 2 | $117 | $117 | $74 | 63% | — | $44 – $191 |
| 14 | HCA FLORIDA LAWNWOOD HOSPITAL VERO BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $150 | $150 | $94 | 63% | — | $56 – $244 |
| 15 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $225 | $225 | $141 | 63% | — | $84 – $365 |
| 16 | HCA FLORIDA NORTHWEST HOSPITAL MARGATE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $57 | $57 | $35 | 63% | — | $21 – $92 |
| 17 | HCA FLORIDA OAK HILL HOSPITAL BROOKSVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $133 | $133 | $83 | 63% | — | $50 – $217 |
| 18 | HCA FLORIDA UNIVERSITY HOSPITAL Davie, FL percent of total billed charges · outpatientfrom % of charges | 2 | $146 | $146 | $91 | 63% | — | $54 – $237 |
| 19 | HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL percent of total billed charges · outpatientfrom % of charges | 2 | $172 | $172 | $108 | 63% | — | $64 – $280 |
| 20 | HCA HEALTHONE AURORA Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $804 | $804 | — | — | — | $804 – $804 |
| 21 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 2 | $517 | $517 | — | — | — | $517 – $517 |
| 22 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO percent of total billed charges · outpatientfrom % of charges | 2 | $616 | $616 | — | — | — | $616 – $616 |
| 23 | HCA HEALTHONE MOUNTAIN RIDGE Thornton, CO percent of total billed charges · outpatientfrom % of charges | 2 | $649 | $649 | — | — | — | $649 – $649 |
| 24 | HCA HEALTHONE NORTHEAST ER THORNTON, CO percent of total billed charges · outpatientfrom % of charges | 2 | $649 | $649 | — | — | — | $649 – $649 |
| 25 | HCA HEALTHONE PRESBYTERIAN ST LUKES Denver, CO percent of total billed charges · outpatientfrom % of charges | 2 | $649 | $649 | — | — | — | $649 – $649 |
← Payers reporting HCPCS S5001 · Snapshot 20261113T090226Z-3ce6c0b8