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
$382
Each hospital's average First Health rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 400.0× 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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22 hospital rates
iThe hospitals that file a First Health 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 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | DIGNITY HEALTH Santa Maria, CA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | NewYork-Presbyterian Columbia University Irving Medical Center|NewYork-Presbyterian Weill Cornell Medical Center|NewYork-Presbyterian Brooklyn Methodist Hospital Brooklyn, NY percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | $0 | 25% | — | $0 – $0 |
| 10 | NewYork-Presbyterian Hudson Valley Hospital Manor, NY percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | NewYork-Presbyterian Queens Flushing, NY percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | $0 | 25% | — | $0 – $0 |
| 12 | Norton Kings Daughters Health Inc Madison, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 13 | Norton Kings Daughters Health Inc Madison, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $382 | $382 | — | — | — | $382 – $382 |
| 15 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 19 | Sarasota Memorial Hospital Sarasota, FL percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Sarasota Memorial Hospital - Venice North Venice, FL percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | $2 | 75% | — | $1 – $4 |
| 22 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | $2 | 75% | — | $1 – $4 |
← Payers reporting HCPCS Q0244 · Snapshot 20261111T120946Z-9134e7f7