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
(Ia) HC Admin Bebtelovimab
Low
$40
Average
$453
Median
$373
High
$1.7k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 4.2× 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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58 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 | $162 | $197 | $60 | 30% | — | $162 – $300 |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $505 | $505 | — | — | — | $505 – $505 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $490 | $490 | — | — | — | $490 – $490 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $490 | $490 | — | — | — | $490 – $490 |
| 5 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $620 | $620 | — | — | — | $620 – $620 |
| 6 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 8 | Boston Medical Center Boston, MA fee schedule · both | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 9 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $701 | $701 | — | — | — | $701 – $701 |
| 10 | Dallas Medical Center Dallas, TX fee schedule · outpatient | 1 | $343 | $343 | — | — | — | $343 – $343 |
| 11 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 1 | $343 | $343 | — | — | — | $343 – $343 |
| 12 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $930 | $930 | — | — | — | $930 – $930 |
| 13 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 14 | East Liverpool City Hospital Liverpool, OH fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 15 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 17 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 18 | Garden City Hospital City, MI fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 19 | Garden Grove Hospital Medical Center Grove, CA fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 20 | 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 | $270 | $270 | — | — | — | $270 – $270 |
| 21 | 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 | $227 | $227 | — | — | — | $227 – $227 |
| 22 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $351 | $351 | — | — | — | $351 – $351 |
| 23 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 24 | Huntington Beach Hospital Beach, CA fee schedule · outpatient | 2 | $439 | $439 | — | — | — | $439 – $439 |
| 25 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $505 | $505 | — | — | — | $505 – $505 |
← Payers reporting HCPCS M0222 · Snapshot 20261111T120946Z-9134e7f7