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 5% IV Sol 100 mL [CMH]
Low
$8
Average
$463
Median
$78
High
$21.2k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
262 hospitals; the 90th percentile is 18.1× 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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273 hospital rates
iThe hospitals that file a WellCare 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 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 2 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 3 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 5 | Albert Einstein Medical Center Philadelphia, PA fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 7 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $489 | $593 | $279 | 47% | — | $315 – $974 |
| 8 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $390 | $473 | $223 | 47% | — | $252 – $778 |
| 9 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $518 | $628 | $295 | 47% | — | $334 – $1.0k |
| 10 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 1 | $828 | $828 | — | — | — | $828 – $828 |
| 11 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 1 | $788 | $788 | — | — | — | $788 – $788 |
| 12 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 13 | Baptist Anderson Regional Medical Center Meridian, MS facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 14 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $774 | $967 | $692 | 71% | — | $258 – $2.1k |
| 15 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $752 | $940 | $672 | 71% | — | $251 – $2.0k |
| 16 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $752 | $940 | $672 | 71% | — | $251 – $2.0k |
| 17 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 18 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 19 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 20 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 21 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 22 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 23 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $21.2k | $21.2k | $7.1k | 33% | — | $14.1k – $28.3k |
| 24 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 25 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
← Payers reporting HCPCS J1572 · Snapshot 20261111T120946Z-9134e7f7