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 ADM TOCILIZUMAB COVID-19 IST
Low
$153
Average
$460
Median
$431
High
$1.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
110 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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110 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 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $525 | $525 | — | — | — | $525 – $525 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $510 | $510 | — | — | — | $510 – $510 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $510 | $510 | — | — | — | $510 – $510 |
| 5 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $645 | $645 | — | — | — | $645 – $645 |
| 6 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $471 | $471 | — | — | — | $471 – $471 |
| 7 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 8 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 10 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 11 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $568 | $568 | — | — | — | $568 – $568 |
| 12 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 13 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $852 | $852 | — | — | — | $852 – $852 |
| 14 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 15 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 16 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $417 | $417 | — | — | — | $417 – $417 |
| 17 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $567 | $567 | — | — | — | $567 – $567 |
| 18 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $550 | $550 | — | — | — | $550 – $550 |
| 19 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 20 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 21 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 23 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $451 | $451 | — | — | — | $451 – $451 |
| 24 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $421 | $421 | — | — | — | $421 – $421 |
| 25 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 1 | $443 | $443 | — | — | — | $443 – $443 |
← Payers reporting HCPCS M0249 · Snapshot 20261111T120946Z-9134e7f7