CPT 90399
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
IMMUNE GLOBULIN
Low
$191
Average
$3.9k
Median
$1.1k
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 46.0× 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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7 hospital rates
iThe hospitals that file a Aetna 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 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 2 | Memorial Herman Surgical Hospital First Colony Sugar Land, TX fee schedule · outpatient | 4 | $4.6k | $5.3k | $1.9k | 35% | — | $3.6k – $8.4k |
| 3 | Memorial Herman Surgical Hospital Kingwood Kingwood, TX fee schedule · outpatient | 4 | $4.6k | $5.3k | $1.9k | 35% | — | $3.6k – $8.4k |
| 4 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Sarasota Memorial Hospital - Venice North Venice, FL fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | UPMC Greene Waynesburg, PA facility · percent of total billed charges · outpatientfrom % of charges | 5 | $209 | $191 | $28 | 15% | — | $157 – $215 |
| 7 | UPMC Washington Washington, PA facility · percent of total billed charges · outpatientfrom % of charges | 5 | $209 | $191 | $28 | 15% | — | $157 – $215 |
← Payers reporting CPT 90399 · Snapshot 20261113T090226Z-3ce6c0b8