Hepatitis B immune globulin injection, intravenous at Aurora Medical Center Summit

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Hepagam b intravenous, inj

Summit, WI

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Pricing by billing methodology

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How this price compares nationally

Aurora Medical Center Summit’s median price of $79 is 8% below the median hospital's median price ($87), higher than 43% of the 1,196 hospitals reporting HCPCS J1573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1573 at Aurora Medical Center Summit

Negotiated rates from the hospital’s own file: 6 payers, 11 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	$65	$65	—	—	—	$65 – $65
2	UnitedHealthcare charter fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
3	UnitedHealthcare exchange fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
4	UnitedHealthcare hmo fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
5	UnitedHealthcare nexus fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
6	Aetna hmo fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
7	Healthpartners employee trust fund fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
8	Anthem blue preferred fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
9	Healthpartners robin fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
10	Cigna ppo-gppo fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
11	Molina commercial fee schedule · outpatient	$161	$161	—	—	—	$161 – $161

Last updated: Nov 21, 2025

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