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
HEPATITIS B IMMUN GLOB-MALTOSE GREATR THAN 312 UNIT/ML (5 ML) INJ SOLN [126007]
Low
$59
Average
$286
Median
$222
High
$1.6k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 8.1× 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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73 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | $902 | 57% | — | $689 – $2.5k |
| 2 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $251 | $251 | $140 | 56% | — | $111 – $392 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | $112 | 56% | — | $89 – $313 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $266 | $266 | $149 | 56% | — | $118 – $415 |
| 6 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 7 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $389 | $389 | $217 | 56% | — | $171 – $606 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $389 | $389 | $217 | 56% | — | $171 – $606 |
| 10 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $389 | $389 | $217 | 56% | — | $171 – $606 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $389 | $389 | $217 | 56% | — | $171 – $606 |
| 12 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 13 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 14 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 15 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 16 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 17 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 18 | Johnston Health Services Corporation Smithfield, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $331 | $331 | $201 | 61% | — | $130 – $532 |
| 19 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 20 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 21 | Lenoir Memorial Hospital Kinston, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 22 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 23 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 24 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | $103 | 69% | — | $47 – $252 |
| 25 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $94 | $94 | $3 | 3% | — | $92 – $97 |
← Payers reporting HCPCS J1571 · Snapshot 20261111T120946Z-9134e7f7