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
$1
Average
$389
Median
$473
High
$982
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 17.3× 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.
Filter by billing methodology
Filter by billing class
23 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $62 | $80 | $29 | 37% | — | $51 – $116 |
| 2 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 3 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $941 | $941 | — | — | — | $941 – $941 |
| 4 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $95 | $81 | $21 | 26% | — | $51 – $95 |
| 5 | East Alabama Medical Center OPELIKA, AL facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 6 | East Alabama Medical Center OPELIKA, AL professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 7 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 8 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $473 | $473 | $5 | 1% | — | $468 – $477 |
| 9 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 10 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $473 | $473 | $5 | 1% | — | $468 – $477 |
| 11 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 12 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 13 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 14 | Honorhealth Scottsdale Thompson Peak Med Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 15 | Honorhealth Sonoran Crossing Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 16 | Lakewood Ranch Sarasota, FL per diem · both | 5 | $1.0k | $982 | $188 | 19% | — | $735 – $1.2k |
| 17 | Manatee Memorial Hospital Wimauma, FL per diem · both | 5 | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 18 | Montefiore Medical Center Bronx, NY fee schedule · both | 7 | $50 | $47 | $4 | 8% | — | $43 – $50 |
| 19 | Phoenix Children's Hospital Phoenix, AZ facility · fee schedule · outpatient | 2 | $860 | $860 | $129 | 15% | — | $730 – $989 |
| 20 | Saratoga Hospital Saratoga Springs, NY facility · case rate · outpatient | 3 | $100 | $85 | $22 | 26% | — | $54 – $100 |
| 21 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 22 | Tucson Medical Center Tucson, AZ facility · fee schedule · outpatient | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 23 | Wellington Regional Medical Center City of Westlake, FL other · both | 5 | $277 | $312 | $66 | 21% | — | $238 – $414 |
← Payers reporting CPT 90399 · Snapshot 20261113T090226Z-3ce6c0b8