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
HIT antibiotic q4h diem
Low
$117
Average
$126
Median
$126
High
$134
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2 hospital rates
iThe hospitals that file a Optum 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 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 2 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
← Payers reporting HCPCS S9504 · Snapshot 20261113T090226Z-3ce6c0b8