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
VARICELLA-ZOSTER IG IM
Teaneck, NJ
See all hospitals reporting CPT 90396 →Price type
Holy Name’s median price of $2.8k is 9% above the median hospital's median price ($2.6k), higher than 56% 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: 5 payers, 6 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 | Optum all products facility · fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 2 | Aetna medicare prime facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 3 | Aetna golden medicare facility · fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 4 | Clover clover facility · fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 6 | WellCare medicare facility · fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
Last updated: Nov 10, 2025
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.