J1564 — Immune Globulin 10 Mg
Cite this view
HANK Price Transparency. (n.d.). Immune globulin 10 mg (HCPCS J1564) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1564?code_type=HCPCS
“Immune globulin 10 mg (HCPCS J1564) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1564?code_type=HCPCS. Accessed .
“Immune globulin 10 mg (HCPCS J1564) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1564?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$86 (25th–75th percentile) across 40 hospitals · 27 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1564 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
The middle 50% of negotiated facility rates for this procedure, measured across 40 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1 |
| Likely subtotal | $1 |
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $1–$86.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $0.63 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $0.73 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $0.74 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $0.74 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.75 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $0.75 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $0.75 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.75 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.75 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.75 | — | — | 2026-03-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | 1199 | 1199 | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2026-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $0.84 | — | — | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $0.84 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $0.84 | — | — | 2025-09-05 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $0.85 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $0.86 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $0.86 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $0.86 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $0.86 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $0.86 | — | — | 2026-04-14 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $0.86 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $0.86 | — | — | 2026-04-14 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Emblem_762 | GHI | $0.90 | — | — | 2026-02-02 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $1.79 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $1.79 | — | — | 2025-06-28 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Aetna | Rental Network | — | — | — | 2026-07-19 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MEDICAID_TEXAS | MEDICAID TEXAS | $813.24 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MEDICAID_FIRST-CARE | MEDICAID FIRST CARE | $813.24 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | UHC_COMMUNITY_PLAN | UNITED HEALTHCARE MEDICAID | $813.24 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MEDICAID_SUPERIOR | MEDICAID SUPERIOR | $813.24 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | CIGNA_KW_EMPLOYEE | CIGNA KELL WEST EMPLOYEE PLAN | $1,260.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | UHC | UNITED HEALTHCARE | $1,713.60 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | AETNA | AETNA | $2,120.40 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | BLUE_ADVANTAGE_BAV | BLUE CROSS BLUE ADVANTAGE HMO | $2,160.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | BLUE_ESSENTIALS | BLUE CROSS BLUE ESSENTIALS | $2,268.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | HEALTHSMART_PPO | HEALTHSMART PPO | $2,340.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | BCBS_TEXAS | BLUE CROSS BLUE CHOICE PPO | $2,520.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | CIGNA | CIGNA | $2,520.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | PHCS | PHCS | $2,700.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | SELF_PAY | SELF PAY DISCOUNT | $2,880.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | $3,060.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | HUMANA | HUMANA CHOICECARE | $3,600.00 | $3,600.00 | $1,324.80 | 2025-01-21 | MRF ↗ |