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
$108
Average
$12.8k
Median
$784
High
$37.5k
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3 hospital rates
iThe hospitals that file a Tricare 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 2 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $784 | $784 | — | — | — | $784 – $784 |
| 3 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $108 | $108 | — | — | — | $108 – $108 |
← Payers reporting CPT 90389 · Snapshot 20261113T090226Z-3ce6c0b8