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
IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION
Low
$76
Average
$8.2k
Median
$2.1k
High
$33.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 118.7× 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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44 hospital rates
iThe hospitals that file a Tricare 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 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $1.7k | $2.0k | $616 | 30% | — | $1.7k – $3.1k |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $2.2k | $1.1k | 51% | — | $596 – $3.0k |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 5 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 8 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 9 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3.5k | $4.3k | $2.8k | 66% | — | $1.6k – $9.9k |
| 11 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3.4k | $4.2k | $2.8k | 67% | — | $1.3k – $9.8k |
| 12 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $4.0k | $9.8k | $12.8k | 130% | — | $36 – $31.2k |
| 13 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $1.5k | $1.4k | $1.1k | 76% | — | $200 – $2.5k |
| 14 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $320 | $320 | $142 | 44% | — | $178 – $463 |
| 15 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | $0 | 0% | — | $1.3k – $1.3k |
| 16 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | $0 | 0% | — | $1.3k – $1.3k |
| 17 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 19 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 21 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $669 | $1.2k | $1.5k | 122% | — | $29 – $7.7k |
| 23 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $2.3k | $2.1k | 88% | — | $83 – $10.8k |
| 24 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.7k | $1.2k | 72% | — | $68 – $6.3k |
| 25 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $847 | $1.4k | $1.6k | 114% | — | $38 – $8.2k |
← Payers reporting HCPCS J3590 · Snapshot 20261111T120946Z-9134e7f7