Octagam immune globulin IV injection, 500 mg at Dignity Health

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IG OCTAGAM10%10GM/1DLIVJW

Folsom, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $104 is 33% above the median hospital's median price ($78), higher than 61% 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 Dignity Health

Negotiated rates from the hospital’s own file: 9 payers, 35 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 medicaid\|< 21 fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
2	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
3	Anthem commercial\|connection epo fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
4	Anthem medicare\|all other plans fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
5	Aetna medicare\|all plans fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
6	Blue Cross Blue Shield medicare\|hmo case rate · outpatient	$64	$64	—	—	—	$64 – $64
7	Blue Cross Blue Shield medicare\|ppo fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
8	Humana commercial\|all plans fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
9	Kaiser medicare\|all plans case rate · outpatient	$64	$64	—	—	—	$64 – $64
10	UnitedHealthcare medicare\|all plans case rate · outpatient	$64	$64	—	—	—	$64 – $64
11	Anthem medicare\|imperial fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
12	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
13	Anthem commercial\|all other plans fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
14	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
15	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
16	Anthem medicaid\|all plans fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
17	Anthem commercial\|mcs fee schedule · outpatient	$101	$101	—	—	—	$101 – $101
18	Aetna commercial\|all other plans fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
19	Aetna commercial\|hmo fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
20	Aetna commercial\|ppo fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
21	Cigna commercial\|localplus fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
22	Blue Cross Blue Shield commercial\|aco trio fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
23	Blue Cross Blue Shield commercial\|aco trio calpers fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
24	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
25	Blue Cross Blue Shield commercial\|calpers fee schedule · outpatient	$117	$117	—	—	—	$117 – $117

Page 1 of 2 · 35 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Octagam immune globulin IV injection, 500 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.