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
Casirivi and imdevi 1200 mg
Low
$0
Average
$34
Median
$5
High
$286
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
40 payers; the 90th percentile is 12323.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 135 | $0 | $2 | $18 | 807% | — | $0 – $163 |
| 2 | Cigna fee schedule · outpatient · +10 other terms | 109 | $0 | $44 | $228 | 517% | — | $0 – $1.5k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 51 | $0 | $0 | $0 | 217% | — | $0 – $1 |
| 4 | Aetna fee schedule · outpatient · +13 other terms | 49 | $0 | $7 | $32 | 461% | — | $0 – $163 |
| 5 | Molina facility · case rate · outpatient · +4 other terms | 37 | $93 | $133 | $62 | 46% | — | $78 – $308 |
| 6 | Anthem fee schedule · outpatient · +10 other terms | 28 | $0 | $19 | $52 | 274% | — | $0 – $163 |
| 7 | Medica fee schedule · outpatient · +5 other terms | 24 | $0 | $0 | $0 | 250% | — | $0 – $1 |
| 8 | Humana fee schedule · outpatient · +9 other terms | 19 | $0 | $26 | $62 | 234% | — | $0 – $171 |
| 9 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $185 | $199 | $46 | 23% | — | $124 – $314 |
| 10 | MultiPlan fee schedule · inpatient · +8 other terms | 13 | $0 | $0 | $0 | 200% | — | $0 – $1 |
| 11 | Optum facility · case rate · outpatient · +1 other terms | 13 | $164 | $171 | $57 | 33% | — | $74 – $279 |
| 12 | Bcbs Nj fee schedule · outpatient · +3 other terms | 10 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Phcs fee schedule · inpatient · +3 other terms | 9 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 14 | Sanford Health Plan fee schedule · outpatient · +2 other terms | 9 | $1 | $0 | $0 | 137% | — | $0 – $1 |
| 15 | Aetna Better Health fee schedule · inpatient · +4 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $86 | $87 | $3 | 3% | — | $86 – $93 |
| 17 | Tricare facility · fee schedule · outpatient · +2 other terms | 6 | $7 | $5 | $3 | 57% | — | $0 – $7 |
| 18 | Clover facility · other · outpatient · +1 other terms | 5 | $7 | $6 | $2 | 37% | — | $1 – $7 |
| 19 | Highmark facility · other · outpatient · +1 other terms | 4 | $4 | $4 | $3 | 77% | — | $0 – $7 |
| 20 | Oscar facility · other · outpatient | 4 | $7 | $6 | $2 | 41% | — | $1 – $7 |
| 21 | Bcbs Ks fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Excellus fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Wellmark facility · case rate · outpatient · +1 other terms | 3 | $290 | $254 | $80 | 32% | — | $118 – $320 |
| 25 | Devoted facility · other · outpatient | 2 | $2 | $2 | $1 | 56% | — | $0 – $3 |
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