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
LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION
Ozark, MO
See all hospitals reporting HCPCS J7504 →Price type
Mercy Hospital Springfield’s median price of $8.9k is 61% above the median hospital's median price ($5.5k), higher than 85% of the 1,534 hospitals reporting HCPCS J7504. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 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 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 2 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 4 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 6 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 7 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 8 | Humana hb sprg humana medicare 100% facility · other · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 9 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 10 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 11 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 12 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 13 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 14 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 15 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 16 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 17 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 18 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 19 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 20 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 21 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 22 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 23 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 24 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 25 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
Last updated: Jun 4, 2026
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