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
TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION
Macon, GA
See all hospitals reporting HCPCS J3250 →Price type
Central Georgia Rehabilitation LLC’s median price of $337 is 308% above the median hospital's median price ($83), higher than 95% of the 1,530 hospitals reporting HCPCS J3250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna hmo fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Aetna pos fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Aetna ppo fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Kaiser commercial fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 5 | UnitedHealthcare commercial fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Cigna commercial fee schedule · both | $46 | $46 | — | — | — | $46 – $46 |
| 7 | Anthem hmo/ppo fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 8 | Humana hmo/pos fee schedule · both | $74 | $74 | — | — | — | $74 – $74 |
| 9 | Humana ppo fee schedule · both | $74 | $74 | — | — | — | $74 – $74 |
| 10 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 11 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 12 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $250 | $250 | — | — | — | $250 – $250 |
| 13 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
| 14 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 15 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 16 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $372 | $372 | — | — | — | $372 – $372 |
| 17 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $372 | $372 | — | — | — | $372 – $372 |
| 18 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $372 | $372 | — | — | — | $372 – $372 |
| 19 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $372 | $372 | — | — | — | $372 – $372 |
| 20 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $372 | $372 | — | — | — | $372 – $372 |
| 21 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $376 | $376 | — | — | — | $376 – $376 |
| 22 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $393 | $393 | — | — | — | $393 – $393 |
| 23 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $394 | $394 | — | — | — | $394 – $394 |
| 24 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $457 | $457 | — | — | — | $457 – $457 |
| 25 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $457 | $457 | — | — | — | $457 – $457 |
Last updated: Nov 19, 2025
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