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
RHO(D) IMMUNE GLOBULIN 250 UNIT (50 MCG) INTRAMUSCULAR SYRINGE
Low
$9
Average
$86
Median
$56
High
$810
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
542 hospitals; the 90th percentile is 7.4× 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.
Filter by billing methodology
Filter by billing class
705 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 | 2 | $48 | $48 | $8 | 16% | — | $41 – $56 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 2 | $51 | $51 | $7 | 14% | — | $43 – $58 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $69 | $62 | $28 | 46% | — | $12 – $88 |
| 4 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $124 | $124 | $50 | 40% | — | $74 – $174 |
| 5 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 6 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $35 | $35 | $10 | 27% | — | $26 – $45 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 8 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 9 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $56 | $56 | $6 | 11% | — | $49 – $62 |
| 10 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $56 | $56 | $6 | 11% | — | $49 – $62 |
| 11 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $56 | $56 | $6 | 11% | — | $49 – $62 |
| 12 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $56 | $56 | $6 | 11% | — | $49 – $62 |
| 13 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $56 | $56 | $6 | 11% | — | $49 – $62 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $34 | $34 | $0 | 1% | — | $34 – $35 |
| 15 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $33 | $35 | $5 | 13% | — | $31 – $42 |
| 16 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $33 | $35 | $5 | 13% | — | $31 – $42 |
| 17 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $33 | $35 | $5 | 13% | — | $31 – $42 |
| 18 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $33 | $35 | $5 | 13% | — | $31 – $42 |
| 19 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $33 | $35 | $5 | 13% | — | $31 – $42 |
| 20 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $33 | $35 | $5 | 13% | — | $31 – $42 |
| 21 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $33 | $35 | $5 | 13% | — | $31 – $42 |
| 22 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $33 | $35 | $5 | 13% | — | $31 – $42 |
| 23 | Allina Health Systems River Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 3 | $47 | $50 | $7 | 14% | — | $43 – $60 |
| 24 | Allina Health Systems River Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $47 | $50 | $7 | 14% | — | $44 – $60 |
| 25 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $33 | $35 | $5 | 13% | — | $31 – $42 |
← Payers reporting HCPCS J2788 · Snapshot 20261111T120946Z-9134e7f7