Octagam immune globulin IV injection, 500 mg at Carmel AmbSurg

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

IMMUNE GLOB OCTAGAM 10GM/200ML

Carmel, IN

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How this price compares nationally

Carmel AmbSurg’s median price of $57 is 27% below the median hospital's median price ($78), higher than 37% 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 Carmel AmbSurg

Negotiated rates from the hospital’s own file: 7 payers, 27 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	UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both	$45	$45	—	—	—	$45 – $45
2	UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both	$45	$45	—	—	—	$45 – $45
3	Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
4	Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
5	Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
6	Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
7	Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
8	Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
9	Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
10	Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
11	UnitedHealthcare 6790_united healthcare new business outpatient asin 20230101 fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
12	Aetna 8946_aetna medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
13	Aetna 8955_aetna choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
14	Ambetter 9036_mhs cenpatico ambetter medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
15	Anthem 8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
16	Caresource 8973_caresource hmo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
17	Caresource 9054_caresource marketplace medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
18	Humana 8982_humana ppo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
19	Humana 8991_humana choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
20	Humana 9000_humana gold choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
21	UnitedHealthcare 9009_united healthcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
22	WellCare 9018_wellcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
23	Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · both	$66	$66	—	—	—	$66 – $66
24	Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
25	Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient	$78	$78	—	—	—	$78 – $78

Page 1 of 2 · 27 rates

Last updated: Jan 1, 2026

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