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
HYQVIA 10 GM-100ML SC KIT
Low
$10
Average
$540
Median
$22
High
$21.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
678 hospitals; the 90th percentile is 23.4× 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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861 hospital rates
iThe hospitals that file a Aetna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $33 | $31 | $9 | 29% | — | $18 – $40 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $77 | $77 | $11 | 14% | — | $66 – $88 |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $32 | $32 | $13 | 40% | — | $19 – $45 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $33 | $33 | $14 | 42% | — | $19 – $46 |
| 6 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.0k | $3.8k | $3.2k | 84% | — | $566 – $11.4k |
| 7 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $29 | $29 | $11 | 37% | — | $19 – $40 |
| 8 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $25 | $25 | $7 | 27% | — | $18 – $32 |
| 9 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 10 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $31 | $31 | $12 | 39% | — | $19 – $43 |
| 11 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 3 | $33 | $30 | $9 | 31% | — | $18 – $41 |
| 12 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 3 | $33 | $30 | $9 | 31% | — | $18 – $41 |
| 13 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 3 | $33 | $30 | $9 | 31% | — | $18 – $41 |
| 14 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 3 | $33 | $30 | $9 | 31% | — | $18 – $41 |
| 15 | AdventHealth Porter Denver, CO fee schedule · outpatient | 3 | $33 | $30 | $9 | 31% | — | $18 – $41 |
| 16 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 17 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 19 | Adventhealth South Overland Park Overland Park, KS fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 20 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 2 | $30 | $30 | — | — | — | $30 – $30 |
| 22 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 4 | $35 | $33 | $13 | 38% | — | $18 – $46 |
| 24 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $19 | $23 | $7 | 29% | — | $18 – $33 |
| 25 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting HCPCS J1575 · Snapshot 20261111T120946Z-9134e7f7