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
$16
Median
$0
High
$429
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
278 hospitals; the 90th percentile is 7945.0× 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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322 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 4 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 5 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 10 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 2 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 13 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 1 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 14 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 3 | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 15 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Adventhealth South Overland Park Overland Park, KS fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 23 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 24 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 25 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $0 | $0 | $0 | 33% | — | $0 – $0 |
← Payers reporting HCPCS Q0244 · Snapshot 20261111T120946Z-9134e7f7