800023 — Famotidine 0.4mg/ml IV
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FAMOTIDINE 0.4MG/ML IV (CDM 800023) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/800023?code_type=CDM
MLA (9th ed.)
“FAMOTIDINE 0.4MG/ML IV (CDM 800023) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/800023?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“FAMOTIDINE 0.4MG/ML IV (CDM 800023) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/800023?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$67 (25th–75th percentile) across 4 hospitals · 59 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 800023 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $0.76 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $0.76 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $0.76 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $0.76 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $0.76 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR | $1.64 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIPPerinatal | $1.64 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR+PLUS | $1.64 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIP | $1.64 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MCDCHIPBH | $1.76 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MGMCD | $1.76 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | MyBlueHealth | $2.05 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | EPO | $2.20 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | HMO | $2.20 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | BAV | $2.27 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Oscar | HIX | $2.46 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | CSN | $2.48 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | ValueHMO | $2.49 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | OpenAccessPlus | $2.64 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | HMO | $2.83 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | EPOSOA | $2.90 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | PPO | $2.95 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | STARKIDS | $2.98 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | STAR | $2.98 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | United | OptionsPPO | $3.06 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | QHPExchange | $3.10 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | PPO | $3.19 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Healthcare Highways | NarrowNetwork | $3.21 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | CHIP | $3.29 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Molina Healthcare | HIX | $3.40 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Evry Health | BroadNetwork | $3.44 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Humana | HMO | $4.02 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Humana | PPO | $4.02 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Imagine Health | PPO | $4.41 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Kelsey Care (Boon-Chapman) | COMM | $4.41 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | Traditional | $4.41 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | COMM | $4.85 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Curative Administrators | COMM | $5.04 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Christus (USFHP) | TRICARE | $5.04 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | ACCEL | $5.41 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | ASA | $5.63 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Averde Health | Commercial | $5.67 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Fidelis SecureCare of TX | MGMCR | $5.67 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | United | GlobalAppendix | $5.67 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | OON | $5.69 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Multiplan | SAVILITYNETWORK | $6.29 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Coventry National First Health | COMM | $6.71 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Physicians Cooperative of Texas | WC | $6.92 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Rockport Workers Comp | COMM | $6.92 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | National Healthcare Solutions | COMM | $7.55 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Independent Medical System | COMM | $7.55 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Beech Street | WCOMP | $7.55 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | SouthWest Medical | WORKERSCOMP | $7.55 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Coastal Comp | COMM | $8.18 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Fiesta Mart, Inc | COMM | $9.44 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Affiliated PPO | COMM | $9.44 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Beech Street | COMMPPO | $10.07 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | PPO | $10.32 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Physicians, INC | COMM | $10.70 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $10.70 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Multiplan | COMPLEMENTARYPPO | $11.33 | $12.59 | $12.59 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRHMO | $14.70 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPPO | $14.70 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | MCRPOS | $14.70 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Imperial Insurance | MCR | $14.70 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MedCare Partners | MGMCR | $14.70 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara Family Health Plan | Medicaid | $18.62 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Bright Health | COMM | $19.70 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | AWH | $21.07 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | HMO | $21.56 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | PPO | $21.56 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | LocalPlus | $22.61 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Health Net | COMM | $23.13 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | POS | $25.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | CIGNA | HMO | $25.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna | PPO | $25.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | United | OptionsPPO | $27.44 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Canopy | COMM | $29.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | COMM | $29.82 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | EPN | $29.82 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | Blue Cross Blue Shield - Tx | Blue Advantage | $38.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA MCR | MCR | $49.00 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Santa Clara IPA COMM | COMM | $49.00 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Palo Alto Medical | COMM | $53.90 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | Blue Cross Blue Shield - Tx | HMO | $57.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | NX Health Network | COMM | $58.80 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Sutter Select | COMM | $58.80 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | Cigna | Commercial | $60.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | MultiPlan | Primary | $63.70 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Networks by Design | COMM | $66.64 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | CoreCare | Commercial | $67.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | Blue Cross Blue Shield - Tx | PPO | $67.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | Blue Cross Blue Shield - Tx | Commercial | $67.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Humana Choicecare | COMM | $68.60 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | Texas True Choice | Commercial | $71.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | COMM | $74.48 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | USA Health Network | PPO | $76.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | COMM | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PPO Next | PPO | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Intercontinental Corporation | COMM | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | PHA Pacific Health Alliance | COMM | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | WCOMP | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Cigna BH | COMMBH | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | HealthSmart | COMM | $83.30 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | MultiPlan | PPO | $86.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | Galaxy Health Network | Commercial | $86.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | USC Health Services | Commercial | $86.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Inpatient | Aetna | Commercial | $94.00 | $95.00 | $67.00 | 2025-06-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | First Health | WCOMP | $98.00 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Molina | Commercial | $3,729.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $3,729.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Medica | Commercial | $4,120.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | UHC Community Plan | Managed Medicaid | $4,605.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | BCBS | Medicare Advantage | $4,847.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $4,847.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Total Care | Managed Medicaid | $4,896.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $4,944.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Midlands Choice | Commercial | $5,593.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | MultiPlan | PHCS - PPO | $7,308.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | MultiPlan | PPO | $7,308.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | BCBS | Commercial | $7,457.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Aetna | PPO | $10,567.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |
| DUNDY COUNTY HOSPITAL Outpatient | Aetna | HMO | $10,567.00 | $7,457.00 | $6,711.00 | 2025-09-22 | MRF ↗ |