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
IMMUNE GLOBULIN (HUMAN) FLEBOGAMMA 5 % DIF IV SOLN
River, MA
See all hospitals reporting HCPCS J1572 →Price type
Southcoast Hospitals Group, Inc.’s median price of $59 is 35% below the median hospital's median price ($91), higher than 33% of the 1,330 hospitals reporting HCPCS J1572. 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, 11 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 | Aetna aetna medicare managed care [101030101] fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 3 | UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 4 | Bcbs Ri bcbs rhode island hmo [101050101] fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 5 | UnitedHealthcare united health one care [101031004] fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 6 | Bcbs Ma bcbs massachusetts hmo [101040122] fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 7 | UnitedHealthcare united healthcare [101080105] fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 8 | Cigna cigna [100011201] fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 9 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Dec 15, 2025
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