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
IG VAR Z 125IU/1.2MLINJTB
Carmichael, CA
See all hospitals reporting CPT 90396 →Price type
Dignity Health’s median price of $3.2k is 25% above the median hospital's median price ($2.6k), higher than 61% of the 1,369 hospitals reporting CPT 90396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 34 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 commercial|connection epo fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 2 | Anthem commercial|all other plans fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 3 | Anthem commercial|mcs fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 4 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 5 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 6 | Blue Cross Blue Shield commercial|calpers fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 7 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 8 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 9 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 10 | Blue Cross Blue Shield commercial|ppo tandem fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 11 | Anthem medicare|all other plans fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 12 | Kaiser medicaid|all plans fee schedule · outpatient | $3.0k | $3.0k | $539 | 18% | — | $2.5k – $3.6k |
| 13 | Aetna medicare|all plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 15 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 16 | Humana commercial|all plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | Humana medicare|all plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 18 | Kaiser medicare|all plans case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 19 | Molina medicare|all plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 20 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 21 | Anthem medicare|imperial fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 22 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 23 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 24 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 25 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Feb 28, 2026
See Varicella-zoster immune globulin injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.