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
In111 ibritumomab, dx
Low
$798
Average
$2.6k
Median
$1.9k
High
$14.7k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
63 hospitals; the 90th percentile is 6.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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70 hospital rates
iThe hospitals that file a Highmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $1.0k | $1.1k | $401 | 35% | — | $516 – $1.8k |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $1.4k | $1.3k | $409 | 31% | — | $782 – $1.9k |
| 3 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $975 | $1.1k | $378 | 34% | — | $516 – $1.7k |
| 4 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $1.5k | $1.2k | $469 | 38% | — | $427 – $1.6k |
| 5 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $1.1k | $1.2k | $417 | 35% | — | $790 – $1.8k |
| 6 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 4 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 7 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 17 | $1.1k | $1.2k | $503 | 40% | — | $640 – $1.9k |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 10 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 11 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $1.0k | $1.0k | $312 | 30% | — | $435 – $1.5k |
| 12 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 13 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 14 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 16 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 18 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 19 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 20 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · both | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 21 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 22 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 23 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 24 | Plymouth Medical Center Plymouth, IN facility · other · both | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 25 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 20 | $946 | $1.1k | $331 | 31% | — | $462 – $1.6k |
← Payers reporting HCPCS A9542 · Snapshot 20261112T124536Z-e251e855