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
OCTAGAM 20 GM / 200 ML VIAL
Ord, NE
See all hospitals reporting HCPCS J1568 →Price type
Valley County Hospital’s median price of $3.8k is 4801% above the median hospital's median price ($78), higher than 96% of the 1,678 hospitals reporting HCPCS J1568. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 17 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 7 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 8 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 9 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 10 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 11 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 12 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 13 | Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 14 | Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 15 | Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 16 | MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 17 | MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
Last updated: Jun 15, 2026
See Octagam immune globulin IV injection, 500 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.