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
Ht inj immuno diem
Low
$0
Average
$347
Median
$123
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
5 payers; the 90th percentile is 21.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms | 18 | $245 | $460 | $400 | 87% | — | $172 – $1.9k |
| 2 | Molina facility · case rate · outpatient · +1 other terms | 2 | $90 | $90 | $4 | 5% | — | $86 – $94 |
| 3 | Bcbs La fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bcbs Mn fee schedule · outpatient | 1 | $1.2k | $1.2k | $518 | 44% | — | $414 – $1.7k |
| 5 | UnitedHealthcare case rate · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
← Hospitals reporting HCPCS S9563 · Snapshot 20261112T181611Z-3fa9fb76