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
$826
Median
$445
High
$2.7k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 45.4× 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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20 hospital rates
iThe hospitals that file a MultiPlan 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 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 4 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $493 | $493 | $45 | 9% | — | $448 – $538 |
| 7 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 8 | Hillsdale Hospital Hillsdale, MI percent of total billed charges · bothfrom % of charges | 1 | $805 | $805 | — | — | — | $805 – $805 |
| 9 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 11 | Munson Medical Center Traverse City, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Munson Medical Center Traverse City, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 14 | STRAUB CLINIC & HOSPITAL Honolulu, HI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | STRAUB CLINIC & HOSPITAL Honolulu, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 1 | $754 | $754 | — | — | — | $754 – $754 |
| 17 | USC Arcadia Hospital Arcadia, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 18 | USC Arcadia Hospital Arcadia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 19 | University of Illinois Hospital & Clinics Chicago, IL professional · fee schedule · both | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 20 | University of Illinois Hospital & Clinics Chicago, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
← Payers reporting CPT 90389 · Snapshot 20261113T090226Z-3ce6c0b8