Intravenous immune globulin (Gammaplex), 500 mg

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Gammaplex injection

Payers reporting HCPCS J1557

Payer pricing summary

Low

$33

Average

$521

Median

$115

High

$3.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	554	$96	$118	$269	227%	—	$20 – $3.4k
2	Aetna fee schedule · outpatient · +17 other terms	370	$71	$110	$171	155%	—	$46 – $2.4k
3	Cigna fee schedule · outpatient · +15 other terms	337	$85	$145	$186	128%	—	$1 – $4.0k
4	Humana fee schedule · outpatient · +18 other terms	331	$64	$124	$247	200%	—	$43 – $2.5k
5	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	313	$90	$134	$88	65%	—	$0 – $462
6	Molina fee schedule · outpatient · +13 other terms	125	$96	$298	$851	286%	—	$40 – $6.6k
7	WellCare fee schedule · outpatient · +8 other terms	125	$64	$68	$18	27%	—	$53 – $133
8	Anthem fee schedule · outpatient · +13 other terms	112	$81	$124	$246	198%	—	$50 – $2.4k
9	Caresource fee schedule · outpatient · +7 other terms	70	$80	$87	$21	24%	—	$57 – $124
10	Devoted fee schedule · outpatient · +6 other terms	66	$62	$62	$3	5%	—	$58 – $68
11	Kaiser fee schedule · outpatient · +8 other terms	61	$66	$112	$72	64%	—	$52 – $425
12	Ambetter facility · fee schedule · outpatient · +8 other terms	58	$112	$114	$24	21%	—	$57 – $154
13	Optum fee schedule · outpatient · +7 other terms	33	$62	$213	$571	268%	—	$57 – $3.4k
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$242	$225	$102	46%	—	$53 – $434
15	Clover fee schedule · outpatient · +4 other terms	29	$64	$64	$3	5%	—	$60 – $71
16	Medicare fee schedule · outpatient · +4 other terms	28	$62	$58	$2	3%	—	$50 – $64
17	Highmark facility · fee schedule · outpatient · +8 other terms	27	$110	$123	$83	67%	—	$57 – $571
18	Oscar facility · fee schedule · outpatient · +10 other terms	25	$81	$89	$17	19%	—	$64 – $118
19	Regence facility · fee schedule · outpatient · +3 other terms	24	$66	$70	$13	18%	—	$48 – $99
20	Aetna Better Health fee schedule · outpatient · +7 other terms	23	$64	$62	$4	7%	—	$57 – $68
21	Medical Mutual facility · fee schedule · outpatient · +3 other terms	21	$117	$129	$61	47%	—	$35 – $267
22	Healthpartners fee schedule · outpatient · +1 other terms	19	$68	$68	$2	2%	—	$66 – $69
23	MultiPlan fee schedule · outpatient · +11 other terms	16	$93	$392	$1.1k	280%	—	$62 – $5.8k
24	Tricare fee schedule · outpatient · +3 other terms	16	$61	$212	$229	108%	—	$57 – $552
25	Wellmark fee schedule · both · +4 other terms	14	$57	$58	$1	1%	—	$57 – $62

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