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
HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOLUTION
Ulysses, KS
See all hospitals reporting HCPCS J1573 →Price type
Commonspirit Kansas, Inc.’s median price of $1.2k is 1238% above the median hospital's median price ($87), higher than 96% of the 1,202 hospitals reporting HCPCS J1573. 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, 13 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 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $867 | $867 | $476 | 55% | — | $390 – $1.3k |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $867 | $867 | $476 | 55% | — | $390 – $1.3k |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $867 | $867 | $476 | 55% | — | $390 – $1.3k |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $867 | $867 | $476 | 55% | — | $390 – $1.3k |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | $1.2k | 55% | — | $976 – $3.4k |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | $1.2k | 55% | — | $976 – $3.4k |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | $1.2k | 55% | — | $1.0k – $3.5k |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | $1.2k | 55% | — | $1.0k – $3.5k |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | $1.3k | 55% | — | $1.1k – $3.8k |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.3k | 55% | — | $1.1k – $3.8k |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.5k | $1.4k | 55% | — | $1.1k – $3.9k |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | $1.4k | 55% | — | $1.1k – $3.9k |
Last updated: Feb 3, 2026
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