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
IVIG HEPAGAM B 5 ML
Austin, TX
See all hospitals reporting HCPCS J1573 →Price type
St.davids Surgical Hospital’s median price of $709 is 718% above the median hospital's median price ($87), higher than 94% of the 1,202 hospitals reporting HCPCS J1573. 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 | UnitedHealthcare narrownetworkhix fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 2 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 3 | UnitedHealthcare smallgroup fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 5 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 6 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 7 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 8 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 9 | Blue Cross Blue Shield ppo fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 10 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $322 | $322 | — | — | — | $322 – $322 |
| 11 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $322 | $322 | — | — | — | $322 – $322 |
| 12 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $322 | $322 | — | — | — | $322 – $322 |
| 13 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $322 | $322 | — | — | — | $322 – $322 |
| 14 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 22 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.1k | $348 | 8% | — | $3.6k – $4.4k |
| 23 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 24 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
Last updated: Sep 1, 2026
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