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
Intrav inf, toci, first dose
Low
$325
Average
$539
Median
$495
High
$871
Each hospital's average First Health rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 2.2× 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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22 hospital rates
iThe hospitals that file a First Health 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 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $495 | $495 | — | — | — | $495 – $495 |
| 2 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $495 | $495 | — | — | — | $495 – $495 |
| 3 | Mercy Hospital Ada Inc Ada, OK facility · other · outpatient | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 4 | Mercy Hospital Ada Inc Ada, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $871 | $871 | — | — | — | $871 – $871 |
| 6 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 7 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 8 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 9 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 10 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $457 | $457 | $3 | 1% | — | $454 – $460 |
| 11 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 12 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $464 | $464 | — | — | — | $464 – $464 |
| 13 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $807 | $807 | — | — | — | $807 – $807 |
| 14 | Mercy Hospital Pittsburg Inc Pittsburg, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 15 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 16 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 17 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $828 | $828 | $10 | 1% | — | $816 – $840 |
| 18 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 19 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 20 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $457 | $457 | $3 | 1% | — | $454 – $460 |
| 21 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 22 | Webster Memorial Hospital Inc Cowen, WV professional · fee schedule · both | 1 | $495 | $495 | — | — | — | $495 – $495 |
← Payers reporting HCPCS M0237 · Snapshot 20261113T090226Z-3ce6c0b8