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
TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE
Goldsboro, NC
See all hospitals reporting HCPCS J1670 →Price type
Wayne Memorial Hospital’s median price of $623 is 21% below the median hospital's median price ($788), higher than 30% of the 2,096 hospitals reporting HCPCS J1670. 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, 21 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 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 2 | Optum vaccn facility · fee schedule · outpatient | $593 | $593 | — | — | — | $593 – $593 |
| 3 | Humana medicare hmo facility · fee schedule · outpatient | $605 | $605 | — | — | — | $605 – $605 |
| 4 | Humana medicare ppo facility · fee schedule · outpatient | $605 | $605 | — | — | — | $605 – $605 |
| 5 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $616 | $616 | — | — | — | $616 – $616 |
| 6 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $616 | $616 | — | — | — | $616 – $616 |
| 7 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $616 | $616 | — | — | — | $616 – $616 |
| 8 | Cigna medicare advantage facility · fee schedule · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 10 | Aetna medicare advantage facility · fee schedule · outpatient | $629 | $629 | — | — | — | $629 – $629 |
| 11 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Cigna commercial facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | UnitedHealthcare commercial facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
Last updated: Jun 18, 2026
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