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
$19
Median
$0
High
$365
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
90 hospitals; the 90th percentile is 102.8× 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.
Filter by billing methodology
Filter by billing class
95 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $276 | $358 | $132 | 37% | — | $230 – $518 |
| 2 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 2 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 6 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 3 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 7 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Berger Hospital Circleville, OH fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | CARRINGTON HEALTH CENTER Carrington, ND fee schedule · outpatient | 2 | $0 | $0 | $0 | 15% | — | $0 – $1 |
| 14 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $426 | $361 | $92 | 26% | — | $230 – $426 |
| 15 | Conway Regional Medical Center Conway, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Danbury Hospital New Milford, CT fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Doctors Hospital Columbus, OH fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Dublin Methodist Hospital Dublin, OH fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $327 | $327 | — | — | — | $327 – $327 |
| 20 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $327 | $327 | — | — | — | $327 – $327 |
| 21 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 22 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q0244 · Snapshot 20261111T120946Z-9134e7f7