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HCPCS J1569

IMMUNE GLOBULIN (HUMAN) IV OR SUBCUTANEOUS SOLN 10 GM/100ML - as described in hospitals' own price files.

43hospitals publishing a price
$1,023median cash price
$195median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Medical Center EnterpriseEnterprise, AL$27.02$120$300$27.02 - $2,928
Mat-Su Regional Medical CenterPalmer, AK$75.00$192$250$26.80 - $259
Grandview Medical CenterBirmingham, AL$141$195$941$41.85 - $3,870
St. Mary Medical CenterLong Beach, CA$241-$502-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$270-$530-
Providence Milwaukie HospitalMilwaukie, OR$340-$454-
Providence Centralia HospitalCentralia, WA$347-$668-
Providence St. Peter HospitalOlympia, WA$347-$668-
Crestwood Medical CenterHuntsville, AL$165$366$914$45.31 - $3,406
Flowers HospitalDothan, AL$123$492$819$43.22 - $3,172
Covenant Medical CenterLubbock, TX$573-$1,365-
Providence Hood River Memorial HospitalHood River, OR$850-$1,134-
Providence St. Vincent Medical CenterPortland, OR$850-$1,134-
Kadlec Regional Medical CenterRichland, WA$938-$1,340-
Providence Regional Medical Center EverettEverett, WA$972-$1,868-
Swedish Edmonds HospitalEdmonds, WA$996-$2,074-
Swedish Medical Center / Cherry HillSeattle, WA$996-$2,074-
Swedish IssaquahIssaquah, WA$996-$2,074-
Providence St. Joseph Medical CenterPolson, MT$1,023-$1,279-
St. Patrick HospitalMissoula, MT$1,023-$1,279-
Providence Holy Family HospitalSpokane, WA$1,023-$1,462-
Providence Mount Carmel HospitalColville, WA$1,023-$1,462-
Providence St. Joseph HospitalChewelah, WA$1,023-$1,462-
Providence Queen Of The Valley Medical CenterNapa, CA$1,184-$2,321-
Providence St. Joseph HospitalEureka, CA$1,204-$2,508-
Providence St. Jude Medical CenterFullerton, CA$1,204-$2,508-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$1,404-$4,012-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$1,404-$4,012-
Providence Holy Cross Medical CenterMission Hills, CA$1,404-$4,012-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$1,404-$4,012-
Providence Saint Joseph Medical CtrBurbank, CA$1,404-$4,012-
Grace Surgical HospitalLubbock, TX$1,433-$3,412-
Providence Seaside HospitalSeaside, OR$1,701-$2,268-
Providence Medford Medical CenterMedford, OR$1,701-$2,268-
Providence Portland Medical CenterPortland, OR$1,701-$2,268-
Providence Willamette Falls Medical CenterOregon City, OR$1,701-$2,268-
Providence Kodiak Island Medical CtrKodiak, AK$1,746-$2,239-
Providence Alaska Medical CenterAnchorage, AK$1,746-$2,239-
Providence St. Mary Medical CenterWalla Walla, WA$2,189-$3,128-
Providence Newberg Medical CenterNewberg, OR$2,347-$3,129-
Saint John'S Health CenterSanta Monica, CA$5,617-$16,050-
Covenant Hospital PlainviewPlainview, TX$9,449-$22,498-
Providence Valdez Medical CenterValdez, AK$10,479-$13,434-

Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.

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