Tetanus immune globulin injection, 250 units

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML IM SYRG [128599]

Payers reporting HCPCS J1670

Payer pricing summary

Low

$308

Average

$1.2k

Median

$947

High

$3.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +34 other terms	732	$856	$1.8k	$22.8k	1257%	2–20	$0 – $730.0k
2	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	433	$809	$2.3k	$24.8k	1094%	1–10	$0 – $575.0k
3	Anthem fee schedule · outpatient · +25 other terms	171	$685	$2.6k	$29.6k	1156%	1–10	$109 – $625.8k
4	Aetna fee schedule · outpatient · +29 other terms	496	$754	$2.8k	$31.6k	1147%	—	$1 – $649.7k
5	Cigna fee schedule · outpatient · +28 other terms	444	$861	$2.5k	$28.4k	1140%	—	$1 – $711.7k
6	Humana fee schedule · outpatient · +27 other terms	428	$593	$1.1k	$8.1k	714%	—	$0 – $205.7k
7	Molina fee schedule · outpatient · +27 other terms	166	$629	$768	$332	43%	—	$1 – $2.5k
8	WellCare fee schedule · outpatient · +21 other terms	152	$593	$638	$176	28%	—	$274 – $1.3k
9	MultiPlan fee schedule · outpatient · +19 other terms	103	$1.7k	$8.2k	$68.7k	835%	—	$1 – $779.3k
10	Caresource fee schedule · outpatient · +17 other terms	98	$679	$706	$125	18%	—	$1 – $1.3k
11	Kaiser fee schedule · outpatient · +19 other terms	97	$837	$6.2k	$52.9k	858%	—	$383 – $675.9k
12	Ambetter facility · fee schedule · outpatient · +19 other terms	88	$1.0k	$3.0k	$19.8k	661%	—	$572 – $208.3k
13	Highmark facility · fee schedule · outpatient · +15 other terms	62	$672	$737	$385	52%	—	$152 – $2.7k
14	Optum facility · fee schedule · outpatient · +19 other terms	59	$589	$610	$69	11%	—	$474 – $856
15	Devoted fee schedule · outpatient · +13 other terms	57	$599	$599	$23	4%	—	$553 – $652
16	Medica fee schedule · outpatient · +19 other terms	46	$1.1k	$1.1k	$564	50%	—	$8 – $2.6k
17	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	42	$600	$635	$132	21%	—	$413 – $1.3k
18	First Health fee schedule · outpatient · +18 other terms	38	$1.5k	$14.2k	$85.9k	606%	—	$270 – $596.4k
19	Regence facility · fee schedule · both · +17 other terms	38	$770	$921	$420	46%	—	$308 – $1.9k
20	Wellmark facility · fee schedule · both · +16 other terms	38	$660	$812	$360	44%	—	$490 – $1.9k
21	Excellus facility · fee schedule · both · +9 other terms	37	$626	$792	$350	44%	—	$500 – $1.9k
22	Medicaid facility · fee schedule · outpatient · +13 other terms	36	$305	$377	$229	61%	—	$11 – $647
23	Medicare fee schedule · outpatient · +15 other terms	36	$581	$576	$7	1%	—	$523 – $610
24	Oscar facility · fee schedule · outpatient · +15 other terms	36	$738	$771	$158	21%	—	$589 – $1.1k
25	Carefirst facility · fee schedule · both · +9 other terms	35	$673	$851	$376	44%	—	$500 – $1.9k

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