Intramuscular gamma globulin injection, over 10 cc at St Luke's Methodist 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

PR GAMMA GLOBULIN > 10 CC INJ

Cedar Rapids, IA

See all hospitals reporting HCPCS J1560 →

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $489 is 47% above the median hospital's median price ($332), higher than 66% of the 1,169 hospitals reporting HCPCS J1560. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1560 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 20 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 medicare advantage case rate · outpatient	$170	$170	—	—	—	$170 – $170
2	Molina medicare advantage case rate · outpatient	$170	$170	—	—	—	$170 – $170
3	Wellmark medicare advantage case rate · outpatient	$170	$170	—	—	—	$170 – $170
4	Humana medicare advantage case rate · outpatient	$175	$175	—	—	—	$175 – $175
5	UnitedHealthcare medicare advantage case rate · outpatient	$175	$175	—	—	—	$175 – $175
6	Aetna hmo fee schedule · both	$403	$403	—	—	—	$403 – $403
7	Aetna ppo fee schedule · both	$403	$403	—	—	—	$403 – $403
8	UnitedHealthcare hmo fee schedule · outpatient	$489	$489	—	—	—	$489 – $489
9	UnitedHealthcare ppo fee schedule · outpatient	$489	$489	—	—	—	$489 – $489
10	Wellmark commercial fee schedule · both	$489	$489	—	—	—	$489 – $489
11	Wellmark commercial fee schedule · outpatient	$489	$489	—	—	—	$489 – $489
12	Wellmark hmo fee schedule · both	$489	$489	—	—	—	$489 – $489
13	Wellmark hmo fee schedule · outpatient	$489	$489	—	—	—	$489 – $489
14	Wellmark ppo fee schedule · both	$489	$489	—	—	—	$489 – $489
15	Wellmark ppo fee schedule · outpatient	$489	$489	—	—	—	$489 – $489
16	UnitedHealthcare hmo fee schedule · both	$501	$501	—	—	—	$501 – $501
17	UnitedHealthcare ppo fee schedule · both	$501	$501	—	—	—	$501 – $501
18	Cigna commercial fee schedule · both	$659	$659	—	—	—	$659 – $659
19	Aetna hmo fee schedule · outpatient	$904	$904	—	—	—	$904 – $904
20	Aetna ppo fee schedule · outpatient	$904	$904	—	—	—	$904 – $904

Last updated: Jan 28, 2026

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