Prescription drug, oral, non chemotherapeutic, nos cost in Indiana
$0
Cash from
$0–$36
Cash range · 13 distinct prices
$0
Insurer rates from
23
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER | Munster | $0 | $0 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | Indianapolis | $0 | $0 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE | Lafayette | $0 | $0 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE | Mooresville | $0 | $0 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL | Carmel | $0 | $0 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL - CARMEL | Carmel | $0 | — | Jul 2025472 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE | La Porte | $0 | $0 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT | Crown Point | $0 | $0 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY | Michigan City | $0 | $0 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE | Crawfordsville | $0 | $1 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER | Dyer | $0 | $0 | Jan 2026288 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $20 | $15 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $24 | $18 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $27 | $19 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $27 | $19 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $27 | $19 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $24 | $20 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $27 | $38 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $30 | $35 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $36 | $38 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Children's Hospital Medical CenterQuetiapine Fumarate 12.5 Mg Po Partial Tabs ( 1/2 Of 25 Mg Tab)
- Clinton Memorial HospitalAZITHROMYCIN 500MG T
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMELFAMOTIDINE 20 MG TABLET
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLEFAMOTIDINE 20 MG TABLET
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINTFAMOTIDINE 20 MG TABLET
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYERFAMOTIDINE 20 MG TABLET
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLISFAMOTIDINE 20 MG TABLET
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTEFAMOTIDINE 20 MG TABLET
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITYFAMOTIDINE 20 MG TABLET
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTEFAMOTIDINE 20 MG TABLET
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.