Hepatitis B immune globulin injection, intravenous at Dignity Community Care

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

IG HEP B 5ML IV JWTB

Glendale, CA

See all hospitals reporting HCPCS J1573 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Community Care’s median price of $114 is 31% above the median hospital's median price ($87), higher than 70% 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 Dignity Community Care

Negotiated rates from the hospital’s own file: 10 payers, 31 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	Humana commercial\|all plans fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
2	UnitedHealthcare medicare\|all plans case rate · outpatient	$91	$91	—	—	—	$91 – $91
3	Molina medicaid\|all plans fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
4	Kaiser medicaid\|< 21 fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
5	Kaiser medicaid\|> 21 fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
6	Anthem medicare\|alhambra senior fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
7	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
8	Blue Cross Blue Shield commercial\|exchange fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
9	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
10	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
11	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
12	Anthem commercial\|alhambra fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
13	Anthem commercial\|hcla fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
14	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
15	Anthem medicaid\|all plans fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
16	Aetna commercial\|all other plans fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
17	Aetna commercial\|hmo fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
18	Aetna commercial\|ppo fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
19	Anthem commercial\|mcs fee schedule · outpatient	$552	$552	—	—	—	$552 – $552
20	Anthem commercial\|non-mcs fee schedule · outpatient	$552	$552	—	—	—	$552 – $552
21	Anthem medicaid\|all plans fee schedule · inpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
22	Cigna commercial\|all other plans fee schedule · outpatient	$4.8k	$4.8k	—	—	—	$4.8k – $4.8k
23	Cigna commercial\|ppo fee schedule · outpatient	$4.8k	$4.8k	—	—	—	$4.8k – $4.8k
24	Kaiser commercial\|all plans fee schedule · inpatient	$5.9k	$5.9k	—	—	—	$5.9k – $5.9k
25	Kaiser commercial\|all plans fee schedule · outpatient	$5.9k	$5.9k	—	—	—	$5.9k – $5.9k

Page 1 of 2 · 31 rates

Last updated: Feb 28, 2026

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