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CPT M0249

TOCILIZUMAB INFUSION, COVID, INFUSION AND MONITOR, 1ST DOSE

Reported by 78 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$330

Average

$583

Median

$521

High

$1.3k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$1.1k$1.3k$1.3k$1.5k$121
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$321$962$835$1.1k$243
3Saint Alphonsus Medical Center - NampaNampa, ID$278$938$811$962$250
4Saint Alphonsus Medical Center - OntarioOntario, OR$182$321$430$1.9k$245
5Saint Alphonsus Medical Center - Baker CityBaker City, OR$367$470$633$1.0k$233
6St Joseph Mercy ChelseaChelsea, MI$175$403$388$1.2k$146
7St Joseph Mercy Ann ArborYpsilanti, MI$176$341$411$1.1k$165
8St Mary Mercy LivoniaLivonia, MI$145$313$356$1.3k$142
9Mercy Health Hackley CampusMuskogen, MI$378$480$576$899$145
10St Joseph Mercy OaklandPontiac, MI$169$323$394$1.1k$148
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