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
TOCILIZUMAB-BAVI 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION
Low
$1
Average
$652
Median
$488
High
$2.1k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 265.1× 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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34 hospital rates
iThe hospitals that file a Medicaid 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $322 | $365 | $212 | 58% | — | $129 – $644 |
| 8 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $669 | $758 | $441 | 58% | — | $268 – $1.3k |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 10 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $1.2k | $1.4k | $788 | 58% | — | $478 – $2.4k |
| 11 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $431 | $488 | $284 | 58% | — | $172 – $861 |
| 12 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 13 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | $960 | 67% | — | $480 – $2.4k |
| 14 | Mercy Hospital Berryville Berryville, AR facility · fee schedule · outpatient | 1 | $480 | $480 | — | — | — | $480 – $480 |
| 15 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $299 | $299 | $1 | 0% | — | $297 – $300 |
| 16 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $283 | $283 | $1 | 0% | — | $282 – $284 |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $1.2k | $1.4k | $792 | 58% | — | $480 – $2.4k |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $778 | $814 | $425 | 52% | — | $311 – $1.4k |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $1.2k | $1.4k | $792 | 58% | — | $480 – $2.4k |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $778 | $814 | $425 | 52% | — | $311 – $1.4k |
| 21 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $299 | $299 | $1 | 0% | — | $297 – $300 |
| 22 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $313 | $313 | $45 | 14% | — | $268 – $359 |
| 23 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $1.2k | $1.4k | $792 | 58% | — | $480 – $2.4k |
| 24 | Mercy Hospital Pittsburg Inc Pittsburg, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $245 | $245 | $1 | 0% | — | $244 – $247 |
| 25 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | $960 | 67% | — | $480 – $2.4k |
← Payers reporting HCPCS Q5133 · Snapshot 20261111T120946Z-9134e7f7