Intravenous immune globulin powder, 500 mg at St.davids Surgical 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

IVIG POWDER NOS 12 G

Austin, TX

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How this price compares nationally

St.davids Surgical Hospital’s median price of $421 is 225% above the median hospital's median price ($130), higher than 71% of the 1,649 hospitals reporting HCPCS J1566. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1566 at St.davids Surgical Hospital

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	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
2	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
3	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
4	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
5	Blue Cross Blue Shield eposoa fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
6	Blue Cross Blue Shield ppo fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
7	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
8	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$107	$119	$72	61%	—	$37 – $213
9	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$107	$119	$72	61%	—	$37 – $213
10	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$107	$119	$72	61%	—	$37 – $213
11	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$107	$119	$72	61%	—	$37 – $213
12	UnitedHealthcare allpayerappendix fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
13	UnitedHealthcare smallgroup fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
14	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$363	$405	$246	61%	—	$127 – $725
15	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$363	$405	$246	61%	—	$127 – $725
16	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$363	$405	$246	61%	—	$127 – $725
17	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$532	$593	$361	61%	—	$186 – $1.1k
18	Humana hmo percent of total billed charges · outpatientfrom % of charges	$593	$662	$402	61%	—	$207 – $1.2k
19	Humana ppo percent of total billed charges · outpatientfrom % of charges	$593	$662	$402	61%	—	$207 – $1.2k
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$630	$703	$427	61%	—	$220 – $1.3k
21	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$961	$1.1k	$652	61%	—	$336 – $1.9k
22	First Health ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.5k	$939	62%	—	$421 – $2.9k
23	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.8k	$1.1k	61%	—	$560 – $3.2k
24	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$1.8k	$2.0k	$1.2k	61%	—	$634 – $3.6k

Last updated: Sep 1, 2026

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