Pemivibart IV infusion for COVID-19 prevention

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.

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Generated: October 20, 2026

Original text from hospital filings

Pemivibart/ Pemgarda Admin Infusion

Tricare pricing summary

Low

$227

Average

$399

Median

$415

High

$526

Tricare rate distribution

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26 hospital rates

#		Plans
1	Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$233	$233	—	—	—	$233 – $233
2	Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$227	$227	—	—	—	$227 – $227
3	Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$227	$227	—	—	—	$227 – $227
4	Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$287	$287	—	—	—	$287 – $287
5	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	1	$428	$428	—	—	—	$428 – $428
6	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient	1	$428	$428	—	—	—	$428 – $428
7	FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient	1	$400	$400	—	—	—	$400 – $400
8	FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient	1	$400	$400	—	—	—	$400 – $400
9	Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient	5	$451	$451	—	—	—	$451 – $451
10	LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient	1	$428	$428	—	—	—	$428 – $428
11	Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient	1	$401	$401	—	—	—	$401 – $401
12	METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient	1	$400	$400	—	—	—	$400 – $400
13	MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient	1	$400	$400	—	—	—	$400 – $400
14	Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient	1	$435	$435	—	—	—	$435 – $435
15	NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient	1	$428	$428	—	—	—	$428 – $428
16	Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient	1	$428	$428	—	—	—	$428 – $428
17	Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient	1	$448	$448	—	—	—	$448 – $448
18	Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient	1	$448	$448	—	—	—	$448 – $448
19	Northside Hospital, Inc. Cumming, GA fee schedule · outpatient	1	$448	$448	—	—	—	$448 – $448
20	Northside Hospital, Inc. Duluth, GA fee schedule · outpatient	1	$448	$448	—	—	—	$448 – $448
21	Northside Hospital, Inc. Canton, GA fee schedule · outpatient	1	$448	$448	—	—	—	$448 – $448
22	PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · outpatient	1	$400	$400	—	—	—	$400 – $400
23	PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient	1	$400	$400	—	—	—	$400 – $400
24	Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient	1	$526	$526	—	—	—	$526 – $526
25	ROANE COUNTY MEDICAL CENTER Harriman, TN fee schedule · outpatient	1	$400	$400	—	—	—	$400 – $400