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
IMMUNE GLOBULIN (GAMMAGARD S-D) LOW IGA 10 G IV SOLR
Summit, WI
See all hospitals reporting HCPCS J1566 →Price type
Aurora Medical Center Summit’s median price of $199 is 53% above the median hospital's median price ($130), higher than 64% of the 1,644 hospitals reporting HCPCS J1566. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | Anthem blue priority fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 2 | UnitedHealthcare charter fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 3 | UnitedHealthcare exchange fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 4 | UnitedHealthcare hmo fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 5 | UnitedHealthcare nexus fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 6 | Aetna hmo fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 7 | Healthpartners employee trust fund fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 8 | Anthem blue preferred fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 9 | Healthpartners robin fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 11 | Molina commercial fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 12 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 13 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $389 | $389 | — | — | — | $389 – $389 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $389 | $389 | — | — | — | $389 – $389 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $396 | $396 | — | — | — | $396 – $396 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $396 | $396 | — | — | — | $396 – $396 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $398 | $398 | — | — | — | $398 – $398 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $398 | $398 | — | — | — | $398 – $398 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $400 | $400 | — | — | — | $400 – $400 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $400 | $400 | — | — | — | $400 – $400 |
Last updated: Nov 21, 2025
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