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
$749
Average
$1.8k
Median
$873
High
$10.6k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
143 hospitals; the 90th percentile is 4.4× 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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154 hospital rates
iThe hospitals that file a WellCare 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 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $814 | $814 | — | — | — | $814 – $814 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $814 | $814 | — | — | — | $814 – $814 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 11 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 14 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $822 | $822 | — | — | — | $822 – $822 |
| 15 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 16 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 17 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $762 | $762 | — | — | — | $762 – $762 |
| 18 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $799 | $799 | — | — | — | $799 – $799 |
| 19 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $799 | $799 | — | — | — | $799 – $799 |
| 20 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 21 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 1 | $798 | $798 | — | — | — | $798 – $798 |
| 22 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 23 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $799 | $799 | — | — | — | $799 – $799 |
| 24 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $799 | $799 | — | — | — | $799 – $799 |
| 25 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
← Payers reporting HCPCS A9542 · Snapshot 20261112T124536Z-e251e855