Octagam immune globulin IV injection, 500 mg at Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IMMUNE GLOBULIN, GAMMA (IGG) (10 %)-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $1.1k is 1260% above the median hospital's median price ($78), higher than 84% 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 Samaritan Hospital

Negotiated rates from the hospital’s own file: 16 payers, 39 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 empire bcbs medicare advantage facility · other · both	$46	$46	—	—	—	$46 – $46
2	UnitedHealthcare united healthcare medicare advantage facility · other · both	$48	$48	—	—	—	$48 – $48
3	Aetna aetna medicare advantage facility · other · both	$50	$50	—	—	—	$50 – $50
4	WellCare wellcare medicare advantage facility · other · both	$52	$52	—	—	—	$52 – $52
5	Excellus blue shield of ne new york medicare adv facility · other · both	$52	$52	—	—	—	$52 – $52
6	Highmark blue shield of ne new york medicare adv facility · other · both	$52	$52	—	—	—	$52 – $52
7	WellCare wellcare ep 1&2 medicaid facility · other · both	$76	$76	—	—	—	$76 – $76
8	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$851	$993	$531	53%	—	$425 – $1.7k
9	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$851	$993	$531	53%	—	$425 – $1.7k
10	Anthem empire medicaid facility · fee schedule · both	$948	$1.1k	$591	53%	—	$474 – $1.9k
11	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$948	$1.1k	$591	53%	—	$474 – $1.9k
12	Excellus empire medicaid facility · fee schedule · both	$948	$1.1k	$591	53%	—	$474 – $1.9k
13	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$948	$1.1k	$591	53%	—	$474 – $1.9k
14	Anthem empire bcbs blue access facility · fee schedule · both	$1.0k	$1.2k	$650	53%	—	$521 – $2.1k
15	Anthem empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$1.0k	$1.2k	$650	53%	—	$521 – $2.1k
16	Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$1.0k	$1.2k	$650	53%	—	$521 – $2.1k
17	UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$1.0k	$1.2k	$650	53%	—	$521 – $2.1k
18	Wellmark empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$1.0k	$1.2k	$650	53%	—	$521 – $2.1k
19	Cigna cigna facility · fee schedule · both	$1.4k	$1.7k	$886	53%	—	$711 – $2.8k
20	UnitedHealthcare united healthcare facility · fee schedule · both	$1.6k	$1.9k	$996	53%	—	$798 – $3.2k
21	First Health first health facility · percent of total billed charges · bothfrom % of charges	$1.7k	$2.0k	$1.1k	53%	—	$851 – $3.4k
22	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$1.9k	$2.2k	$1.2k	53%	—	$957 – $3.8k
23	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$1.9k	$2.2k	$1.2k	53%	—	$957 – $3.8k
24	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$1.9k	$2.2k	$1.2k	53%	—	$957 – $3.8k
25	Aetna aetna facility · fee schedule · both	$2.1k	$2.4k	$1.3k	53%	—	$1.0k – $4.2k

Page 1 of 2 · 39 rates

Last updated: Mar 31, 2026

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