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 BAMLANIVIMAB AND ETESEVIMAB INCLUDES I
Low
$177
Average
$629
Median
$475
High
$1.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 3.6× 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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61 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 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 3 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 5 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 7 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $525 | $525 | — | — | — | $525 – $525 |
| 8 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $510 | $510 | — | — | — | $510 – $510 |
| 9 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $510 | $510 | — | — | — | $510 – $510 |
| 10 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $645 | $645 | — | — | — | $645 – $645 |
| 11 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 13 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 15 | Centinela Hospital Medical Center Inglewood, CA fee schedule · outpatient | 1 | $564 | $564 | — | — | — | $564 – $564 |
| 16 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $435 | $435 | — | — | — | $435 – $435 |
| 17 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 18 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $947 | $735 | $300 | 41% | — | $311 – $947 |
| 19 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 20 | Dallas Medical Center Dallas, TX fee schedule · outpatient | 1 | $432 | $432 | — | — | — | $432 – $432 |
| 21 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 22 | Desert Valley Hospital Victorville, CA fee schedule · outpatient | 2 | $564 | $564 | — | — | — | $564 – $564 |
| 23 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 24 | East Liverpool City Hospital Liverpool, OH fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 25 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Payers reporting HCPCS M0245 · Snapshot 20261111T120946Z-9134e7f7