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
$25
Median
$0
High
$373
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 8334.0× 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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131 hospital rates
iThe hospitals that file a Aetna 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 5 | BayCare Alliant Hospital Dunedin, FL facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 6 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 7 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · inpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 11 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 12 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 13 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 17 | Community Medical Center Toms River, NJ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 19 | Conway Regional Medical Center Conway, AR facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Conway Regional Medical Center Conway, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 2 | $81 | $81 | $81 | 100% | — | $0 – $162 |
← Payers reporting HCPCS Q0244 · Snapshot 20261111T120946Z-9134e7f7