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
HC INTRAVENOUS INFUSION CASIRIVI AND IMDEVI W/ POST ADMIN MONIT
Low
$174
Average
$850
Median
$760
High
$3.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
134 hospitals; the 90th percentile is 2.1× 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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156 hospital rates
iThe hospitals that file a Aetna 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 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $750 | $750 | — | — | — | $750 – $750 |
| 3 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $954 | $954 | — | — | — | $954 – $954 |
| 4 | Baptist Memorial Hospital-Collierville Collierville, TN facility · fee schedule · outpatient | 1 | $722 | $722 | — | — | — | $722 – $722 |
| 5 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | — | — | — | $684 – $684 |
| 6 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · fee schedule · outpatient | 1 | $722 | $722 | — | — | — | $722 – $722 |
| 7 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $737 | $737 | $53 | 7% | — | $684 – $790 |
| 8 | Baptist Memorial Hospital-Memphis Memphis, TN facility · fee schedule · outpatient | 1 | $722 | $722 | — | — | — | $722 – $722 |
| 9 | Baptist Memorial Hospital-Memphis Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | — | — | — | $684 – $684 |
| 10 | Baptist Memorial Hospital-Women's Memphis, TN facility · fee schedule · outpatient | 1 | $722 | $722 | — | — | — | $722 – $722 |
| 11 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | — | — | — | $684 – $684 |
| 12 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 2 | $810 | $810 | $57 | 7% | — | $753 – $866 |
| 13 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 2 | $810 | $810 | $57 | 7% | — | $753 – $866 |
| 14 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $750 | $750 | — | — | — | $750 – $750 |
| 16 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $1.6k | $1.6k | $258 | 17% | — | $1.3k – $1.8k |
| 17 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $781 | $781 | — | — | — | $781 – $781 |
| 18 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $690 | $690 | — | — | — | $690 – $690 |
| 19 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 2 | $180 | $174 | $22 | 13% | — | $144 – $198 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · inpatientfrom % of charges | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 1 | $242 | $242 | $34 | 14% | — | $208 – $276 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $180 | $174 | $22 | 13% | — | $144 – $198 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · inpatientfrom % of charges | 1 | $305 | $305 | $18 | 6% | — | $287 – $323 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 2 | $287 | $221 | $119 | 54% | — | $54 – $323 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · inpatientfrom % of charges | 1 | $318 | $318 | $5 | 2% | — | $312 – $323 |
← Payers reporting HCPCS M0244 · Snapshot 20261111T120946Z-9134e7f7