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
HB=DISPENSING FEE
Low
$220
Average
$424
Median
$400
High
$803
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 2.3× 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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10 hospital rates
iThe hospitals that file a Phcs 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 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 2 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $494 | $494 | $154 | 31% | — | $340 – $648 |
| 3 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $431 | $431 | — | — | — | $431 – $431 |
| 4 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $431 | $431 | — | — | — | $431 – $431 |
| 5 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 6 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 7 | Novant Health Thomasville Medical Center, LLC Thomasville, NC fee schedule · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $401 | $401 | — | — | — | $401 – $401 |
| 9 | The Presbyterian Hospital Charlotte, NC fee schedule · outpatient | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 10 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $803 | $803 | — | — | — | $803 – $803 |
← Payers reporting HCPCS V5090 · Snapshot 20261111T120946Z-9134e7f7