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
HEP B IMN GLOB MALTOSE >312UNTS/ML VIAL
Ord, NE
See all hospitals reporting HCPCS J1573 →Price type
Valley County Hospital’s median price of $192 is 122% above the median hospital's median price ($87), higher than 87% 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: 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 2 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
| 6 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 7 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $184 | $184 | — | — | — | $184 – $184 |
| 8 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 9 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 10 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 11 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 12 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 13 | Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 14 | Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 15 | Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 16 | MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
| 17 | MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
Last updated: Jun 15, 2026
See Hepatitis B immune globulin injection, intravenous pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.