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
Bamlan and etesev infus home
Low
$705
Average
$977
Median
$803
High
$1.8k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
69 hospitals; the 90th percentile is 2.3× 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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69 hospital rates
iThe hospitals that file a WellCare 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 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $717 | $717 | — | — | — | $717 – $717 |
| 4 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $752 | $752 | — | — | — | $752 – $752 |
| 5 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $752 | $752 | — | — | — | $752 – $752 |
| 6 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $752 | $752 | — | — | — | $752 – $752 |
| 7 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $752 | $752 | — | — | — | $752 – $752 |
| 8 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 4 | $722 | $902 | $294 | 33% | — | $722 – $1.5k |
| 12 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $803 | $803 | — | — | — | $803 – $803 |
| 13 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $732 | $732 | — | — | — | $732 – $732 |
| 14 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 1 | $717 | $717 | — | — | — | $717 – $717 |
| 15 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 1 | $717 | $717 | — | — | — | $717 – $717 |
| 16 | Highland Medical Center - Shreveport Shreveport, LA fee schedule · outpatient | 1 | $745 | $745 | — | — | — | $745 – $745 |
| 17 | Jersey City Medical Center Jersey City, NJ fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER SAVANNAH, GA fee schedule · outpatient | 1 | $705 | $705 | — | — | — | $705 – $705 |
| 19 | MaineHealth Belfast, ME fee schedule · both | 1 | $862 | $862 | — | — | — | $862 – $862 |
| 20 | MaineHealth Farmington, ME fee schedule · both | 1 | $829 | $829 | — | — | — | $829 – $829 |
| 21 | MaineHealth Norway, ME fee schedule · both | 1 | $862 | $862 | — | — | — | $862 – $862 |
| 22 | Mease Countryside Hospital Harbor, FL facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Mease Dunedin Hospital Dunedin, FL facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Mississippi Baptist Medical Center Jackson, MS facility · fee schedule · outpatient | 1 | $715 | $715 | — | — | — | $715 – $715 |
| 25 | Monmouth Medical Center Long Branch, NJ fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
← Payers reporting HCPCS M0246 · Snapshot 20261112T181611Z-3fa9fb76