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
M0243 - CASIRVI AND IMDEVI INFUSION
Suffern, NY
See all hospitals reporting HCPCS M0243 →Price type
Good Samaritan Hospital’s median price of $995 is 77% above the median hospital's median price ($561), higher than 82% of the 1,048 hospitals reporting HCPCS M0243. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 2 | UnitedHealthcare uhc commercial facility · per diem · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 3 | UnitedHealthcare uhc empire facility · per diem · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 4 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $756 | $756 | — | — | — | $756 – $756 |
| 5 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $796 | $796 | — | — | — | $796 – $796 |
| 6 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $895 | $895 | — | — | — | $895 – $895 |
| 7 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $895 | $895 | — | — | — | $895 – $895 |
| 8 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $995 | $995 | — | — | — | $995 – $995 |
| 9 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $995 | $995 | — | — | — | $995 – $995 |
| 10 | Blue Cross Blue Shield blue cross hmo facility · percent of total billed charges · outpatientfrom % of charges | $995 | $995 | — | — | — | $995 – $995 |
| 11 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Tricare tricare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Jun 29, 2026
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