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
VARICELLA-ZOSTER IG IM
Austin, TX
See all hospitals reporting CPT 90396 →Price type
St.davids Surgical Hospital’s median price of $2.6k is 3% above the median hospital's median price ($2.6k), higher than 53% of the 1,369 hospitals reporting CPT 90396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $239 | $239 | — | — | — | $239 – $239 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $239 | $239 | — | — | — | $239 – $239 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $239 | $239 | — | — | — | $239 – $239 |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $239 | $239 | — | — | — | $239 – $239 |
| 5 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $812 | $812 | — | — | — | $812 – $812 |
| 6 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $812 | $812 | — | — | — | $812 – $812 |
| 7 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $812 | $812 | — | — | — | $812 – $812 |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 14 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 15 | UnitedHealthcare narrownetworkhix fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 16 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.1k | $258 | 8% | — | $2.7k – $3.3k |
| 17 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 18 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 19 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 20 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 21 | UnitedHealthcare smallgroup fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 22 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 23 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 24 | Blue Cross Blue Shield ppo fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
Last updated: Sep 1, 2026
See Varicella-zoster immune globulin injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.