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
PANGLOBULIN MS 6 GRAM VIAL
Pasadena, TX
See all hospitals reporting HCPCS J1566 →Price type
Pmc Hospital, Llc’s median price of $123 is 5% below the median hospital's median price ($130), higher than 48% of the 1,644 hospitals reporting HCPCS J1566. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 24 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 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 2 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 5 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 6 | Cigna Healthspring medicare|all plans case rate · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 7 | Humana medicare|all plans case rate · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 8 | Aetna medicare|all plans case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 9 | UnitedHealthcare medicare|all plans case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 10 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 11 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 12 | Ambetter commercial|all plans case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 13 | UnitedHealthcare commercial|charter fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 15 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 16 | Cigna commercial|transplant fee schedule · outpatient | $188 | $188 | $14 | 8% | — | $173 – $202 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $188 | $188 | — | — | — | $188 – $188 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 19 | Cigna commercial|transplant fee schedule · inpatient | $202 | $202 | — | — | — | $202 – $202 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $217 | $217 | — | — | — | $217 – $217 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 22 | Cigna commercial|ppo fee schedule · outpatient | $242 | $242 | — | — | — | $242 – $242 |
| 23 | Cigna commercial|hmo fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 24 | Cigna commercial|surefit fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
Last updated: Feb 28, 2026
See Intravenous immune globulin powder, 500 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.