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Procedure price report

First infusion of tocilizumab for COVID-19 in hospital

HCPCS M0249the billing code this page is about

Covers the staff time and supplies to give one intravenous infusion of the drug tocilizumab to a hospitalized patient age 2 or older being treated for COVID-19; this code bills the first dose only.

Hospitals typically charge $540 cash for this outpatient procedure — the median across 163 hospitals that filed a usable cash price; the average of the middle 60% is $548. Most fall between $351 and $805 (20th–80th percentile).

Hospitals
163
States
27
Filings dated
Dec 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 163 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$333$414$540$739$881

The most expensive tenth of hospitals charges at least 2.7× what the cheapest tenth charges ($333 vs $881).

How the prices are spread

$236 – $274: 7 hospitals$236$274 – $318: 4 hospitals$318 – $369: 18 hospitals$318$369 – $428: 14 hospitals$428 – $496: 17 hospitals$428$496 – $576: 35 hospitals$576 – $668: 16 hospitals$576$668 – $775: 14 hospitals$775 – $899: 23 hospitals$775$899 – $1,043: 3 hospitals$899median $540price bands are equal on a log scale
Hospitals per price band (151 of 163 — the bands cover the 5th to 95th percentile)
FromToHospitals
$236$2747
$274$3184
$318$36918
$369$42814
$428$49617
$496$57635
$576$66816
$668$77514
$775$89923
$899$1,0433

Against Medicare

Medicare pays (OPPS 2026, national rate)$451
Median cash price$540
Cash as a multiple of Medicare1.20×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $540.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: no hospital in the corpus filed a usable priceILWisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: 5 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: median $346 across 10 hospitalsOR$346Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $444 across 12 hospitalsIA$444Indiana: median $839 across 19 hospitalsIN$839Ohio: median $588 across 10 hospitalsOH$588Pennsylvania: 3 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: no hospital in the corpus filed a usable priceNJConnecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: 5 hospitals filed a usable price — fewer than 10, so no figureCAUtah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: no hospital in the corpus filed a usable priceCONebraska: no hospital in the corpus filed a usable priceNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 2 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: no hospital in the corpus filed a usable priceOKLouisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $540 across 38 hospitalsTX$540Florida: median $881 across 13 hospitalsFL$881
Cash price by state, most expensive first. National median $540. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL13$881+63%$648 – $881
Indiana IN19$839+55%$563 – $1,113
Ohio OH10$588+9%$588 – $821
Texas TX38$5400%$414 – $540
Iowa IA12$444−18%$444 – $444
Oregon OR10$346−36%$346 – $1,202
Michigan MI7not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
New York NY5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Pennsylvania PA3not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Virginia VA2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Wisconsin WI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $540.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care127$540$413 – $739
Children’s2fewer than 20 hospitals
Critical access33$540$333 – $922
Ownership
For-profit17fewer than 20 hospitals
Government12fewer than 20 hospitals
Non-profit133$540$413 – $768
System affiliation
Part of a system154$540$374 – $821
Independent9fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$900
Median cash price$540
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

148 hospitals filed a usable inpatient cash price for this code. The median is $540 and the average of the middle 60% is $510; most fall between $346 and $725.

Cash price percentiles, inpatient, across 148 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$291$351$540$612$881

The most expensive tenth of hospitals charges at least 3.0× what the cheapest tenth charges ($291 vs $881).

Of the 157 hospitals that filed this code inpatient, 148 gave a usable cash price; 0 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

163 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 172 hospitals that filed this code at all gave us
Usable cash price — counted163
Cash price carrying a plausibility flag — shown on the compare tool, excluded here0
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded9
Hospitals that filed this code172

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as Adm tocilizu covid-19 1st.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “First infusion of tocilizumab for COVID-19 in hospital (CPT M0249) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-m0249-first-infusion-of-tocilizumab-for-covid-19-in-hospital