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
$158
Average
$658
Median
$773
High
$900
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 2.7× 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.
Filter by billing methodology
Filter by billing class
22 hospital rates
iThe hospitals that file a Aetna Better 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 2 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 4 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 6 | FAIRVIEW PARK HOSPITAL DUBLIN, GA fee schedule · outpatient | 1 | $705 | $705 | — | — | — | $705 – $705 |
| 7 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 8 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 9 | MEMORIAL HEALTH MEADOWS HOSPITAL Vidalia, GA fee schedule · outpatient | 1 | $705 | $705 | — | — | — | $705 – $705 |
| 10 | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER SAVANNAH, GA fee schedule · outpatient | 1 | $705 | $705 | — | — | — | $705 – $705 |
| 11 | MEMORIAL SATILLA HEALTH Waycross, GA fee schedule · outpatient | 1 | $705 | $705 | — | — | — | $705 – $705 |
| 12 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 13 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 14 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 15 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 16 | Penn Medicine Princeton Medical Center Princeton, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 17 | Proctor Community Hospital Peoria, IL fee schedule · inpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 18 | Proctor Community Hospital Peoria, IL fee schedule · outpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 19 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 20 | The Carle Foundation Hospital Urbana, IL fee schedule · inpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 21 | The Carle Foundation Hospital Urbana, IL fee schedule · outpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
| 22 | The Chester County Hospital West Chester, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $242 | $242 | — | — | — | $242 – $242 |
← Payers reporting HCPCS M0244 · Snapshot 20261111T120946Z-9134e7f7