HCPCS M0250
Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose
Current codeInjection - Monoclonal Antibodies35 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $1,146 | $2,865 |
| Deaconess Medical Center | — | $954 | $2,386 |
| Harborview Medical Center | — | $1,433 | $2,048 |
| Highline Medical Center | — | $241 | $789 |
| Mary Bridge Children's Hospital | — | $1,146 | $2,865 |
| MultiCare Auburn Medical Center | — | $1,146 | $2,865 |
| MultiCare Covington Medical Center | — | $1,146 | $2,865 |
| MultiCare Good Samaritan Hospital | — | $1,146 | $2,865 |
| MultiCare Valley Hospital | — | $954 | $2,386 |
| St Anthony Hospital | — | $240 | $789 |
| St Clare Hospital | — | $228 | $789 |
| St Elizabeth Hospital | $221 – $262 | $279 | $789 |
| St Francis Community Hospital | — | $248 | $789 |
| St Joseph Medical Center | — | $261 | $789 |
| St Michael Medical Center | — | $348 | $789 |
| Tacoma General Allenmore Hospital | — | $1,146 | $2,865 |
| University of Washington Medical Ctr | — | $1,077 | $1,539 |
| Virginia Mason Medical Center | — | $919 | $1,802 |
| Wellfound Behavioral Health Hospital | — | $541 | $1,352 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $451 (APC 1506)