RC 637
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
BUPROPION XL 150 MG 24 HR TAB
Low
$1
Average
$419
Median
$66
High
$6.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
75 hospitals; the 90th percentile is 230.3× 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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106 hospital rates
iThe hospitals that file a Tricare 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $0 | $2 | $3 | 137% | — | $0 – $8 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $97 | $217 | $250 | 115% | — | $5 – $619 |
| 3 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $8 | $30 | $100 | 338% | — | $0 – $2.4k |
| 4 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $5 | $18 | $61 | 345% | — | $0 – $1.5k |
| 5 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $10 | $96 | $293 | 306% | — | $0 – $2.7k |
| 6 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · bothfrom % of charges | 1 | $2 | $4 | $11 | 244% | — | $0 – $138 |
| 7 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $4 | $11 | 244% | — | $0 – $138 |
| 8 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $9 | $148 | $1.1k | 766% | — | $0 – $21.3k |
| 9 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $148 | $1.1k | 766% | — | $0 – $21.3k |
| 10 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $10 | $149 | $1.1k | 763% | — | $0 – $21.3k |
| 11 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $149 | $1.1k | 763% | — | $0 – $21.3k |
| 12 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $9 | $148 | $1.1k | 766% | — | $0 – $21.3k |
| 13 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $148 | $1.1k | 766% | — | $0 – $21.3k |
| 14 | Ascension Seton Luling, TX percent of total billed charges · bothfrom % of charges | 1 | $16 | $195 | $1.3k | 688% | — | $0 – $21.3k |
| 15 | Ascension Seton Luling, TX percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $195 | $1.3k | 689% | — | $0 – $21.3k |
| 16 | Ascension Seton Burnet, TX percent of total billed charges · bothfrom % of charges | 1 | $17 | $183 | $1.3k | 701% | — | $0 – $21.3k |
| 17 | Ascension Seton Burnet, TX percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $183 | $1.3k | 701% | — | $0 – $21.3k |
| 18 | Ascension Seton Smithville, TX percent of total billed charges · bothfrom % of charges | 1 | $9 | $134 | $1.0k | 767% | — | $0 – $21.3k |
| 19 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $76 | $738 | 970% | — | $0 – $21.3k |
| 20 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $9 | $133 | $1.0k | 770% | — | $0 – $21.3k |
| 21 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $133 | $1.0k | 770% | — | $0 – $21.3k |
| 22 | Ascension Seton Bastrop, TX percent of total billed charges · bothfrom % of charges | 1 | $9 | $154 | $1.2k | 772% | — | $0 – $21.3k |
| 23 | Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $154 | $1.2k | 772% | — | $0 – $21.3k |
| 24 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $9 | $148 | $1.1k | 767% | — | $0 – $21.3k |
| 25 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $148 | $1.1k | 767% | — | $0 – $21.3k |
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