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 IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN
Low
$0
Average
$2.4k
Median
$984
High
$10.2k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
85 hospitals; the 90th percentile is 38.3× 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.
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128 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 3 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.4k | $2.4k | $67 | 3% | — | $2.3k – $2.5k |
| 4 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | $66 | 3% | — | $2.3k – $2.4k |
| 5 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $2.3k | $2.3k | $66 | 3% | — | $2.3k – $2.4k |
| 6 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 7 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 8 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 9 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 10 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 11 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 12 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 13 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 14 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 15 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 16 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 17 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 20 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 21 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 22 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 23 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 24 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 25 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
← Payers reporting HCPCS J1573 · Snapshot 20261111T120946Z-9134e7f7