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 FLEBOGA10GM/1DL IVJWTB
Phoenix, AZ
See all hospitals reporting HCPCS J1572 →Price type
Dignity Health’s median price of $71 is 21% below the median hospital's median price ($91), higher than 41% of the 1,330 hospitals reporting HCPCS J1572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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 commercial|navigate fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 3 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 4 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 5 | UnitedHealthcare medicare|dual complete case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 6 | Aetna medicare|all plans fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 7 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 8 | Cigna medicare|all plans fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 9 | First Health medicare|all plans fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 10 | Humana medicare|all plans fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 11 | Optum medicare|optumcare fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 12 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 13 | Optum medicare|optumhealth fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 14 | Cigna commercial|exchange fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 15 | Cigna commercial|localplus surefit fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 18 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 19 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 20 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 21 | Aetna commercial|all plans fee schedule · outpatient | $218 | $206 | $21 | 10% | — | $170 – $218 |
| 22 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $426 | $505 | $411 | 81% | — | $32 – $1.1k |
| 23 | Optum commercial|optumhealth fee schedule · outpatient | $1.1k | $1.2k | $1.0k | 81% | — | $80 – $2.8k |
| 24 | Cigna commercial|lifesource fee schedule · outpatient | $1.2k | $1.5k | $1.2k | 81% | — | $94 – $3.3k |
| 25 | First Health commercial|all plans fee schedule · inpatient | $1.6k | $1.9k | $1.5k | 81% | — | $119 – $4.2k |
Last updated: Feb 28, 2026
See Intravenous immune globulin injection, 500 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.