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 IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION
Hanover, PA
See all hospitals reporting CPT 90396 →Price type
UPMC Hanover’s median price of $1.5k is 43% below the median hospital's median price ($2.6k), higher than 7% 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: 9 payers, 23 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 pa medicaid facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $380 | $380 | $35 | 9% | — | $345 – $415 |
| 4 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $103 | 9% | — | $1.0k – $1.2k |
| 5 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $109 | 9% | — | $1.1k – $1.3k |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $112 | 9% | — | $1.1k – $1.3k |
| 7 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $124 | 9% | — | $1.2k – $1.5k |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $124 | 9% | — | $1.2k – $1.5k |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $133 | 9% | — | $1.3k – $1.6k |
| 10 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | $140 | 9% | — | $1.4k – $1.7k |
| 11 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | $155 | 9% | — | $1.5k – $1.9k |
| 12 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $155 | 9% | — | $1.5k – $1.9k |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | $155 | 9% | — | $1.5k – $1.9k |
| 14 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $155 | 9% | — | $1.5k – $1.9k |
| 15 | Highmark medicare facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | Humana medicare facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 17 | Aetna medicare facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | Cigna medicare facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | UnitedHealthcare medicare facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | Cigna commercial facility · fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 21 | Highmark medicaid facility · fee schedule · outpatient | $3.9k | $3.9k | $3.9k | 100% | — | $13 – $7.8k |
| 22 | Highmark commercial facility · fee schedule · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 23 | UnitedHealthcare commercial facility · fee schedule · outpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
Last updated: Mar 6, 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.