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
HCHG RHO D IMMUNE GLOB
Ulm, MN
See all hospitals reporting HCPCS J2790 →Price type
Allina Health Systems’s median price of $211 is 28% above the median hospital's median price ($166), higher than 64% of the 1,891 hospitals reporting HCPCS J2790. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 2 | Bcbs Mn bc pmap (n) facility · other · outpatient | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 3 | Bcbs Mn bc premier(n) facility · other · outpatient | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 4 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $104 | $104 | — | — | 1–10 | $104 – $104 |
| 5 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 6 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 7 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $118 | $118 | — | — | 1–10 | $118 – $118 |
| 8 | UnitedHealthcare united healthcare (nr) facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 9 | Medicaid medicaid ma (n) facility · other · outpatient | $159 | $159 | — | — | 1–10 | $159 – $159 |
| 10 | Medica medica medicare (r) facility · fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 11 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 12 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $222 | $222 | — | — | — | $222 – $222 |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $225 | $225 | — | — | — | $225 – $225 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | — | — | — | $243 – $243 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $290 | $290 | — | — | — | $290 – $290 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $297 | $297 | — | — | 1–10 | $297 – $297 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $305 | $305 | — | — | — | $305 – $305 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $305 | $305 | — | — | — | $305 – $305 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $305 | $305 | — | — | — | $305 – $305 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | — | — | — | $310 – $310 |
Last updated: Jun 16, 2026
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