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HANK Price Transparency. (n.d.).
UNLISTED IMMUNE GLOBULIN (CPT 90399) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/90399/by-state?code_type=CPT
“UNLISTED IMMUNE GLOBULIN (CPT 90399) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/90399/by-state?code_type=CPT. Accessed
June 28, 2026 .
“UNLISTED IMMUNE GLOBULIN (CPT 90399) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/90399/by-state?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CPT · across United States
90399 — Unlisted Immune Globulin
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$428
National median
$155 – $522
IQR (p25 – p75)
520
hospitals filing
36
states
Walking in without insurance?
Cash / self-pay price
Cash median
$2,505
vs. negotiated
+485.5%
Hospitals reporting
17
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 90399 (CPT), with interquartile range
State Median p25 p75
OR $1,284 $963 $1,284
WA $1,145 $995 $1,369
VA $1,134 $1,134 $1,134
CO $1,070 $706 $1,284
FL $1,048 $920 $1,160
NV $920 $60 $920
IL $920 $706 $1,446
CA $813 $75 $920
IN $706 $706 $706
KS $706 $706 $706
KY $706 $643 $706
WI $706 $454 $706
GA $706 $364 $706
ID $706 $530 $706
MD $706 $702 $706
OK $706 $706 $706
MO $706 $706 $706
TN $553 $454 $1,134
NC $522 $522 $522
AZ $477 $470 $477
LA $454 $454 $454
NJ $449 $449 $449
TX $428 $428 $428
NM $359 $359 $359
PA $159 $24 $203
NY $155 $75 $252
MI $120 $120 $135
RI $111 $111 $111
MA $102 $102 $126
WV $95 $95 $95
CT $93 $93 $308
OH $90 $52 $706
AL $86 $86 $86
ND $54 $54 $380
UT $50 $50 $1,626
SC $50 $35 $706