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
ADM TOCLZMAB COV 1ST
Tucson, AZ
See all hospitals reporting HCPCS M0249 →Price type
Northwest Hospital LLC’s median price of $471 is 5% below the median hospital's median price ($495), higher than 42% of the 1,324 hospitals reporting HCPCS M0249. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 33 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 hix facility · per diem · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 2 | UnitedHealthcare uhc navigate facility · per diem · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 3 | UnitedHealthcare uhc apa facility · per diem · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 4 | Medicaid az medicaid facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | — | — | — | $234 – $234 |
| 5 | Magellan magellan medicaid az facility · percent of total billed charges · outpatientfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
| 6 | Aetna aetna asbait facility · percent of total billed charges · inpatientfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
| 7 | Aetna aetna asbait facility · percent of total billed charges · outpatientfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
| 8 | Blue Cross Blue Shield bcbs pimaconnect facility · other · outpatient | $315 | $315 | — | — | — | $315 – $315 |
| 9 | Blue Cross Blue Shield bcbs az ppo hmo nbr facility · other · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 10 | Blue Cross Blue Shield bcbs az work comp facility · other · outpatient | $448 | $448 | — | — | — | $448 – $448 |
| 11 | Aetna aetna qhp facility · percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 12 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 13 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 14 | Humana node humana mcr adv facility · fee schedule · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 15 | UnitedHealthcare node apipa uhc community plan mcr adv facility · per diem · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 16 | Cigna cigna localflex facility · other · outpatient | $467 | $467 | — | — | — | $467 – $467 |
| 17 | Cigna cigna localplus facility · other · outpatient | $467 | $467 | — | — | — | $467 – $467 |
| 18 | Tricare node tricare facility · fee schedule · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 19 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $472 | $472 | — | — | — | $472 – $472 |
| 20 | Clover node clover health mcr adv facility · fee schedule · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 21 | Devoted node devoted health mcr adv facility · other · outpatient | $477 | $477 | — | — | — | $477 – $477 |
| 22 | Magellan node magellan mcr adv facility · fee schedule · outpatient | $486 | $486 | — | — | — | $486 – $486 |
| 23 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $486 | $486 | — | — | — | $486 – $486 |
| 24 | Cigna cigna hmo facility · other · outpatient | $487 | $487 | — | — | — | $487 – $487 |
| 25 | Aetna aetna performance facility · percent of total billed charges · outpatientfrom % of charges | $516 | $516 | — | — | — | $516 – $516 |
Last updated: Apr 1, 2026
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