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
$1
Average
$134
Median
$77
High
$458
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 254.1× 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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12 hospital rates
iThe hospitals that file a Medicaid 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $105 | $110 | $7 | 6% | — | $105 – $120 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $89 | $6 | 6% | — | $85 – $97 |
| 3 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 6 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $254 | $254 | — | — | — | $254 – $254 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 8 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 10 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 11 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $458 | $458 | — | — | — | $458 – $458 |
← Payers reporting HCPCS J1573 · Snapshot 20261111T120946Z-9134e7f7