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
$70
Average
$1.6k
Median
$150
High
$9.9k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 104.2× 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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49 hospital rates
iThe hospitals that file a Medical Mutual 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $130 | $130 | $33 | 25% | — | $97 – $163 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 6 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $130 | $130 | $33 | 25% | — | $97 – $163 |
| 7 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 8 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 9 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 10 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $130 | $130 | $33 | 25% | — | $97 – $163 |
| 11 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 12 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $130 | $130 | $33 | 25% | — | $97 – $163 |
| 13 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 14 | Kettering Medical Center Troy, OH fee schedule · outpatient | 2 | $130 | $130 | $33 | 25% | — | $97 – $163 |
| 15 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 2 | $130 | $130 | $33 | 25% | — | $97 – $163 |
| 16 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 2 | $130 | $130 | $33 | 25% | — | $97 – $163 |
| 17 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $195 | $195 | $16 | 8% | — | $179 – $211 |
| 18 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 19 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $8.1k | $8.1k | $1.0k | 13% | — | $6.8k – $9.4k |
| 20 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $8.8k | $8.5k | $1.6k | 18% | — | $6.6k – $10.4k |
| 21 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $9.9k | $9.9k | $536 | 5% | — | $9.4k – $10.4k |
| 22 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 1 | $9.9k | $9.9k | $536 | 5% | — | $9.4k – $10.4k |
| 23 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 1 | $9.9k | $9.9k | $536 | 5% | — | $9.4k – $10.4k |
| 24 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 1 | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 25 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
← Payers reporting HCPCS J1573 · Snapshot 20261111T120946Z-9134e7f7