J1599

Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg

Medicare pricing data for 265 providers across 13 states

🤖AI Overview

Prices vary significantly by location — from $66 in North Carolina to $316 in Maryland. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg (HCPCS code J1599) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $105.23, but hospitals typically charge $452.07 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.05

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $105.23, your out-of-pocket cost would be approximately $21.05. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$105.23
Average Hospital Charge
$452.07
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$452.07
Medicare Allowed$105.23
Medicare Payment$83.79

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $83.79 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$316$82274,987+200.6%
Texas$276$1,0988918,919+162.4%
Colorado$200$631164,128+89.9%
Arizona$126$67384,422+19.8%
Nebraska$122$18071,380+15.9%
Florida$97$1982313,360-7.6%
South Carolina$81$235125,920-22.9%
California$69$304644,553-34.2%
Tennessee$69$6711440,511-34.7%
Georgia$68$205912,079-35.1%
Alabama$67$1781824,462-36.1%
Utah$67$11051,140-36.3%
North Carolina$66$195103,395-37.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber