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 GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION
Low
$16
Average
$1.5k
Median
$48
High
$14.8k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
84 hospitals; the 90th percentile is 114.9× 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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90 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 | $4.6k | $4.6k | $1.5k | 33% | — | $3.1k – $6.1k |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 3 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $2.8k | $3.3k | $1.0k | 30% | — | $2.8k – $5.1k |
| 5 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $376 | $278 | 74% | — | $81 – $814 |
| 6 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $296 | $366 | $270 | 74% | — | $79 – $791 |
| 7 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $296 | $366 | $270 | 74% | — | $79 – $791 |
| 8 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $375 | $462 | $342 | 74% | — | $100 – $1000 |
| 9 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 10 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 11 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 12 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 13 | CentraState Medical Center Freehold Township, NJ other · both | 2 | $48 | $48 | — | — | — | $48 – $48 |
| 14 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $48 | $48 | — | — | — | $48 – $48 |
| 15 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $4.4k | $4.4k | $1.5k | 33% | — | $2.9k – $5.8k |
| 16 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $48 | $48 | — | — | — | $48 – $48 |
| 17 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 18 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | $899 | 60% | — | $606 – $2.4k |
| 19 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $11.7k | $13.0k | $7.8k | 60% | — | $3.7k – $25.8k |
| 20 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 21 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 22 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 23 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 24 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 25 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA other · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
← Payers reporting HCPCS J1568 · Snapshot 20261111T120946Z-9134e7f7