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
$34
Average
$330
Median
$404
High
$728
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 6.5× 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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72 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | $195 | $195 | $5 | 3% | — | $190 – $200 |
| 2 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 2 | $183 | $183 | $4 | 2% | — | $179 – $188 |
| 3 | CENTERPOINT MEDICAL CENTER Independence, MO percent of total billed charges · outpatientfrom % of charges | 5 | $63 | $75 | $21 | 29% | — | $48 – $100 |
| 4 | Edward Hospital Plainfield, IL fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 5 | Elmhurst Memorial Hospital Elmhurst, IL fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 6 | Endeavor Health Clinical Operations Skokie, IL fee schedule · outpatient | 3 | $84 | $84 | $6 | 7% | — | $77 – $91 |
| 7 | HCA FLORIDA FORT WALTON-DESTIN HOSPITAL FT WALTON BEACH, FL percent of total billed charges · outpatientfrom % of charges | 9 | $164 | $188 | $89 | 48% | — | $72 – $386 |
| 8 | HCA FLORIDA GULF COAST HOSPITAL PANAMA CITY BEACH, FL percent of total billed charges · outpatientfrom % of charges | 9 | $171 | $191 | $81 | 42% | — | $88 – $377 |
| 9 | HCA FLORIDA KENDALL HOSPITAL MIAMI, FL percent of total billed charges · outpatientfrom % of charges | 8 | $413 | $417 | $156 | 37% | — | $145 – $628 |
| 10 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 8 | $64 | $72 | $27 | 38% | — | $38 – $134 |
| 11 | HCA FLORIDA LAWNWOOD HOSPITAL VERO BEACH, FL percent of total billed charges · outpatientfrom % of charges | 8 | $158 | $152 | $41 | 27% | — | $58 – $196 |
| 12 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 9 | $129 | $158 | $67 | 42% | — | $80 – $307 |
| 13 | HCA FLORIDA NORTHWEST HOSPITAL MARGATE, FL percent of total billed charges · outpatientfrom % of charges | 8 | $44 | $46 | $16 | 35% | — | $22 – $69 |
| 14 | HCA FLORIDA OAK HILL HOSPITAL BROOKSVILLE, FL percent of total billed charges · outpatientfrom % of charges | 8 | $70 | $76 | $33 | 44% | — | $25 – $145 |
| 15 | HCA FLORIDA UNIVERSITY HOSPITAL Davie, FL percent of total billed charges · outpatientfrom % of charges | 7 | $129 | $127 | $36 | 29% | — | $79 – $178 |
| 16 | HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL percent of total billed charges · outpatientfrom % of charges | 8 | $135 | $142 | $46 | 32% | — | $84 – $211 |
| 17 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX percent of total billed charges · outpatientfrom % of charges | 6 | $439 | $445 | $115 | 26% | — | $315 – $676 |
| 18 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX percent of total billed charges · outpatientfrom % of charges | 6 | $343 | $348 | $90 | 26% | — | $246 – $528 |
| 19 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 6 | $354 | $358 | $93 | 26% | — | $253 – $544 |
| 20 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 6 | $357 | $361 | $94 | 26% | — | $256 – $549 |
| 21 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 6 | $387 | $392 | $102 | 26% | — | $277 – $595 |
| 22 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 6 | $252 | $255 | $66 | 26% | — | $180 – $387 |
| 23 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC percent of total billed charges · outpatientfrom % of charges | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 24 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 25 | HCA Healthcare Trident Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $176 | $176 | — | — | — | $176 – $176 |
← Payers reporting HCPCS S5001 · Snapshot 20261113T090226Z-3ce6c0b8