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
TETANUS IMMUNE GLOBULIN SOLN 250U
Low
$1
Average
$962
Median
$813
High
$2.8k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 2648.8× 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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26 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 6 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $672 | $672 | — | — | — | $672 – $672 |
| 12 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 14 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 2 | $889 | $889 | $27 | 3% | — | $862 – $916 |
| 15 | John Muir Health Concord, CA percent of total billed charges · bothfrom % of charges | 2 | $889 | $889 | $27 | 3% | — | $862 – $916 |
| 16 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 17 | Munson Healthcare Cadillac Cadillac, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Munson Healthcare Cadillac Cadillac, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Munson Medical Center Traverse City, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | Munson Medical Center Traverse City, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | Pemiscot Memorial Health System Hayti, MO percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 23 | Pike Health Services Inc Waverly, OH facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 25 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
← Payers reporting CPT 90389 · Snapshot 20261113T090226Z-3ce6c0b8