100104
CDMCLOZAPINE ODT 25MG TAB
Verified from hospital fileNot a bill estimate
iDirect answer
Based on the latest published hospital price files, code 100104 (CLOZAPINE ODT 25MG TAB) appears at 1 hospital with disclosed cash prices from $1.72 to $1.72. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
1
hospital publish a price
0
list this service without a published price
1
Cash
1
List
1
Negotiated
0
Allowed
Compare 100104 prices
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1
Hospitals
1
Prices shown
$1.72
Lowest cash
$1.72
Highest cash
code 100104 cash price1 disclosed · 1 hospital
$1.72median ~$1.72$1.72
1 price shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| CLOZAPINE ODT 25MG TAB Inpatient & outpatient | Beacon Plainwell | 100104 CDM | $3.50 | $1.72 | $3.50 – $3.50 | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish 100104 prices
Open a hospital to see this code in the context of its full published prices.
Code 100104: frequently asked
- What does code 100104 cost?
- Across the published hospital price files, the disclosed cash price for 100104 ranges from $1.72 to $1.72. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code 100104?
- 100104 is the billing code hospitals use to identify "CLOZAPINE ODT 25MG TAB" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.