Octagam immune globulin IV injection, 500 mg at AMH Cath Labs LLC

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OCTAGAM 5 % INTRAVENOUS SOLN [35435]

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $2.4k is 3001% above the median hospital's median price ($78), higher than 92% of the 1,678 hospitals reporting HCPCS J1568. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1568 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 33 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	Blue Cross Blue Shield medicare advantage case rate · outpatient	$48	$48	—	—	—	$48 – $48
2	Humana medicare advantage case rate · outpatient	$49	$49	—	—	—	$49 – $49
3	Humana medicare advantage ppo case rate · outpatient	$49	$49	—	—	—	$49 – $49
4	Molina medicare advantage case rate · outpatient	$50	$50	—	—	—	$50 – $50
5	WellCare medicare advantage hmo case rate · outpatient	$50	$50	—	—	—	$50 – $50
6	WellCare medicare advantage mmp case rate · outpatient	$52	$52	—	—	—	$52 – $52
7	UnitedHealthcare medicare advantage ppo case rate · outpatient	$53	$53	—	—	—	$53 – $53
8	UnitedHealthcare medicare advantage hmo case rate · outpatient	$54	$54	—	—	—	$54 – $54
9	Blue Cross Blue Shield hmo fee schedule · outpatient	$134	$134	—	—	—	$134 – $134
10	Blue Cross Blue Shield exchange fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
11	Blue Cross Blue Shield ppo fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
12	UnitedHealthcare all payer fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
13	UnitedHealthcare ppo fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
14	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$571	$571	—	—	—	$571 – $571
15	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$571	$571	—	—	—	$571 – $571
16	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$599	$599	—	—	—	$599 – $599
17	Blue Cross Blue Shield traditional fee schedule · outpatient	$609	$609	—	—	—	$609 – $609
18	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$616	$616	—	—	—	$616 – $616
19	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$628	$628	—	—	—	$628 – $628
20	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
21	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
22	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k
23	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
24	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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