4505033 — Immune Globulin Intravenous 10% Sol [Gmh]
Cite this view
HANK Price Transparency. (n.d.). Immune Globulin Intravenous 10% Sol [Gmh] (CDM 4505033) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4505033?code_type=CDM
“Immune Globulin Intravenous 10% Sol [Gmh] (CDM 4505033) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4505033?code_type=CDM. Accessed .
“Immune Globulin Intravenous 10% Sol [Gmh] (CDM 4505033) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4505033?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,615–$8,514 (25th–75th percentile) across 1 hospital · 4 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4505033 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| GOTHENBURG HEALTH Both | United Healthcare | Veterans Affair Community Care | $5,559.00 | $9,057.00 | $8,151.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | United Healthcare | Commercial | $5,615.00 | $9,057.00 | $8,151.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Blue Cross Blue Shield | Medicare Advantage | $5,615.00 | $9,057.00 | $8,151.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Aetna | Medicare Advantage | $5,706.00 | $9,057.00 | $8,151.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Nebraska Total Care | Commercial | $8,423.00 | $9,057.00 | $8,151.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Blue Cross Blue Shield | Commercial | $8,604.00 | $9,057.00 | $8,151.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Both | Aetna | Commercial | $8,695.00 | $9,057.00 | $8,151.00 | 2025-06-11 | MRF ↗ |