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
IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER)
Low
$102
Average
$18.3k
Median
$183
High
$192.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
131 hospitals; the 90th percentile is 483.9× 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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140 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 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $183 | $183 | — | — | 32–41 | $183 – $183 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $183 | $183 | — | — | 32–41 | $183 – $183 |
| 3 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $77.2k | $77.2k | $46.3k | 60% | — | $30.9k – $123.6k |
| 5 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 6 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $110.8k | $110.8k | $66.5k | 60% | — | $44.3k – $177.3k |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 10 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 11 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 12 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 13 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $28.7k | $28.8k | $17.8k | 62% | — | $11.6k – $66.6k |
| 14 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 15 | Boston Medical Center Boston, MA other · both | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 16 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 17 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 18 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 19 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 20 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $183 | $183 | — | — | — | $183 – $183 |
| 21 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $33.8k | $33.8k | $20.3k | 60% | — | $13.5k – $54.1k |
| 22 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $183 | $183 | — | — | — | $183 – $183 |
| 23 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $183 | $183 | — | — | — | $183 – $183 |
| 24 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 25 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $23.0k | $23.0k | $13.8k | 60% | — | $9.2k – $36.9k |
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