NDC 23155-0766-01
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
TETRACYCLINE HCL 250 MG PO CAPS
Reported by 112 hospitals in the network under the percent of billed charges methodology.
Based on 464–518 billing samples across every hospital reporting.
Low
$0
Average
$22
Median
$4
High
$183
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 112 hospitals; the 90th percentile is 149.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center | Oceanside, CA | $19 | $25 | $11 | 460–478 | $8 | $43 |
| 2 | Norton Hospitals INC | Louisville, KY | $2 | $6 | $7 | 2–20 | $0 | $17 |
| 3 | Norton Kings Daughters Health Inc | Madison, IN | $5 | $11 | $7 | 2–20 | $1 | $20 |
| 4 | Allen Memorial Hospital Corporation | Waterloo, IA | $1 | $1 | $0 | — | $1 | $2 |
| 5 | Sanford Medical Center Bismarck | Bismarck, ND | $3 | $3 | $1 | — | $1 | $4 |
| 6 | Sanford Wheaton | Wheaton, MN | $4 | $3 | $1 | — | $1 | $4 |
| 7 | Vanderbilt Wilson County Hospital | Lebanon, TN | $2 | $2 | $0 | — | $1 | $3 |
| 8 | Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $2 | $2 | $0 | — | $1 | $3 |
| 9 | Vanderbilt University Medical Center | Nashville, TN | $2 | $2 | $0 | — | $1 | $3 |
| 10 | Vanderbilt Bedford Hospital | Shelbyville, TN | $2 | $2 | $0 | — | $1 | $3 |
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