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
IMMUNE GLOB IV 20GM/FLEBOGAMMA
Hialeah, FL
See all hospitals reporting HCPCS J1572 →Price type
Hsa Pgh Llc’s median price of $907 is 900% above the median hospital's median price ($91), higher than 89% of the 1,325 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: 14 payers, 41 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 humana commercial hmo facility · other · outpatient | $317 | $317 | $299 | 94% | — | $18 – $616 |
| 2 | Humana humana commercial ppo facility · other · outpatient | $332 | $332 | $313 | 94% | — | $19 – $645 |
| 3 | Cigna cigna individual family facility · fee schedule · outpatient | $312 | $491 | $447 | 91% | — | $31 – $1.2k |
| 4 | Cigna cigna surefit facility · fee schedule · outpatient | $383 | $603 | $549 | 91% | — | $38 – $1.5k |
| 5 | Oscar oscar health plan hix facility · percent of total billed charges · inpatientfrom % of charges | $470 | $614 | $539 | 88% | — | $37 – $1.3k |
| 6 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $470 | $614 | $539 | 88% | — | $37 – $1.3k |
| 7 | Cigna cigna commercial facility · fee schedule · outpatient | $445 | $702 | $638 | 91% | — | $45 – $1.8k |
| 8 | Cigna cigna localplus benefit facility · fee schedule · outpatient | $445 | $702 | $638 | 91% | — | $45 – $1.8k |
| 9 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $804 | $804 | — | — | — | $804 – $804 |
| 10 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $804 | $804 | — | — | — | $804 – $804 |
| 11 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $804 | $804 | — | — | — | $804 – $804 |
| 12 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $816 | $816 | — | — | — | $816 – $816 |
| 13 | Molina molina managed medicaid facility · other · outpatient | $828 | $828 | — | — | — | $828 – $828 |
| 14 | Humana humana medicare hmo facility · fee schedule · outpatient | $876 | $1.4k | $1.3k | 91% | — | $88 – $3.5k |
| 15 | Humana humana medicare ppo facility · fee schedule · outpatient | $876 | $1.4k | $1.3k | 91% | — | $88 – $3.5k |
| 16 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $907 | $1.4k | $1.3k | 91% | — | $91 – $3.6k |
| 17 | Cigna cigna healthsprings facility · fee schedule · outpatient | $907 | $1.4k | $1.3k | 91% | — | $91 – $3.6k |
| 18 | Medicare medicare facility · fee schedule · outpatient | $907 | $1.4k | $1.3k | 91% | — | $91 – $3.6k |
| 19 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $907 | $1.4k | $1.3k | 91% | — | $91 – $3.6k |
| 20 | UnitedHealthcare united healthcare of florida exchange facility · fee schedule · outpatient | $907 | $1.4k | $1.3k | 91% | — | $91 – $3.6k |
| 21 | UnitedHealthcare united healthcare of florida hmo facility · fee schedule · outpatient | $907 | $1.4k | $1.3k | 91% | — | $91 – $3.6k |
| 22 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $907 | $1.4k | $1.3k | 91% | — | $91 – $3.6k |
| 23 | UnitedHealthcare united healthcare of florida ppo facility · fee schedule · outpatient | $907 | $1.4k | $1.3k | 91% | — | $91 – $3.6k |
| 24 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $907 | $1.4k | $1.3k | 91% | — | $91 – $3.6k |
| 25 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.5k | $792 | 53% | — | $635 – $2.5k |
Last updated: Sep 1, 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.