Octagam immune globulin IV injection, 500 mg at Medical City Plano

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.

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Generated: October 20, 2026

Original text from hospital filings

IVIG OCTAGAM 5 G

Plano, TX

See all hospitals reporting HCPCS J1568 →

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Pricing by billing methodology

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How this price compares nationally

Medical City Plano’s median price of $1.4k is 1641% above the median hospital's median price ($78), higher than 86% 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 Medical City Plano

Negotiated rates from the hospital’s own file: 7 payers, 37 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 tricare fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
2	UnitedHealthcare allpayerappendix fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
3	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
4	UnitedHealthcare smallgroup fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
5	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
6	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$225	$225	—	—	—	$225 – $225
7	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$225	$225	—	—	—	$225 – $225
8	Humana comm fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
9	Cigna localplus fee schedule · outpatient	$293	$293	—	—	—	$293 – $293
10	Cigna newbusiness fee schedule · outpatient	$293	$293	—	—	—	$293 – $293
11	Cigna hmo fee schedule · outpatient	$327	$327	—	—	—	$327 – $327
12	Cigna networkbenefit fee schedule · outpatient	$327	$327	—	—	—	$327 – $327
13	Cigna openaccessplus fee schedule · outpatient	$327	$327	—	—	—	$327 – $327
14	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$330	$330	—	—	—	$330 – $330
15	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$330	$330	—	—	—	$330 – $330
16	Blue Cross Blue Shield eposoa fee schedule · outpatient	$346	$346	—	—	—	$346 – $346
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$363	$363	—	—	—	$363 – $363
18	Cigna allother fee schedule · outpatient	$414	$414	—	—	—	$414 – $414
19	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$422	$422	$248	59%	—	$173 – $670
20	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$422	$422	$248	59%	—	$173 – $670
21	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$422	$422	$248	59%	—	$173 – $670
22	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$422	$422	$248	59%	—	$173 – $670
23	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$422	$422	$248	59%	—	$173 – $670
24	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$813	$813	$479	59%	—	$334 – $1.3k
25	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$843	$843	$497	59%	—	$346 – $1.3k

Page 1 of 2 · 37 rates

Last updated: Mar 1, 2026

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