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
MICRHOGAM ULTRA-FILTERED PLUS 250 UNITS IM SOSY
Flushing, NY
See all hospitals reporting HCPCS J2788 →Price type
NewYork-Presbyterian Queens’s median price of $54 is 21% above the median hospital's median price ($44), higher than 64% of the 1,212 hospitals reporting HCPCS J2788. 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, 16 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 | Anthem all commercial plans fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 2 | Cigna all commercial plans percent of total billed charges · bothfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Molina all nys essential plans fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 4 | Molina medicaid/child health plus fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 5 | Anthem medicaid fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Anthem nystateofhealth plans fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 7 | UnitedHealthcare all commercial plans fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 8 | UnitedHealthcare medicaid fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 9 | UnitedHealthcare child health plus fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Aetna commercial fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 11 | Anthem child health plus fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 12 | MultiPlan all commercial plans percent of total billed charges · bothfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 13 | Beechstreet all commercial plans percent of total billed charges · bothfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 14 | First Health all commercial plans percent of total billed charges · bothfrom % of charges | $104 | $104 | $3 | 3% | — | $100 – $107 |
| 15 | Anthem all nys essential plans fee schedule · both | $165 | $165 | — | — | — | $165 – $165 |
| 16 | UnitedHealthcare all nys essential plans fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
Last updated: Mar 31, 2026
See Rho(D) immune globulin, 50 microgram minidose injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.