HCPCS C9003
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.
Generation details were not recorded for this description.
Original text from hospital filings
PR PALIVIZUMAB, PER 50 MG
Low
$228
Average
$3.2k
Median
$1.8k
High
$11.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 18.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna facility · fee schedule · outpatient · +3 other terms | 5 | $779 | $779 | — | — | — | $779 – $779 |
| 2 | First Health percent of total billed charges · outpatientfrom % of charges | 3 | $12.3k | $11.0k | $2.1k | 19% | — | $7.3k – $13.3k |
| 3 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +3 other terms | 3 | $15.2k | $13.6k | $2.5k | 18% | — | $9.7k – $16.1k |
| 4 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 3 | $1.9k | $1.7k | $1.1k | 62% | — | $646 – $3.2k |
| 5 | Aetna facility · case rate · outpatient · +3 other terms | 2 | $437 | $437 | — | — | — | $437 – $437 |
| 6 | Anthem facility · fee schedule · outpatient | 2 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Bcbs Mi facility · case rate · outpatient | 2 | $228 | $228 | — | — | — | $228 – $228 |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 2 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Humana facility · case rate · outpatient · +5 other terms | 2 | $437 | $437 | — | — | — | $437 – $437 |
| 10 | Kaiser fee schedule · both | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Hospitals reporting HCPCS C9003 · Snapshot 20261113T090226Z-3ce6c0b8