What does code J1572 cost?

Across the published hospital price files, the disclosed cash price for J1572 ranges from $1,541 to $7,599. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

J1572 is the billing code hospitals use to identify "FLEBOGAMMA DIF 5 % INTRAVENOUS SOLUTION" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

J1572

HCPCS

FLEBOGAMMA DIF 5 % INTRAVENOUS SOLUTION

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code J1572 (FLEBOGAMMA DIF 5 % INTRAVENOUS SOLUTION) appears at 9 hospitals with disclosed cash prices from $1,541 to $7,599. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J1572 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code J1572 vary by about 4.9× across the 7 hospitals with disclosed prices here — from $1,541 to $7,599. Shopping around can matter.

Hospitals

Prices shown

$1,541

Lowest cash

$7,599

Highest cash

code J1572 cash price12 disclosed · 7 hospitals

$1,541median ~$3,869$7,599

Lowest cash price by hospital

Providence Centralia Hospital$1,541
MaineHealth - Memorial Hospital$2,229
University Hospitals Ahuja Medical Center$2,372
Marion General Hospital$2,636
Carle Foundation Hospital$3,939
Methodist Medical Center of Illinois$3,939

Cash price by city

Reflects your current filters.

Cash price by city$1,541 – $7,599

Centralia · 1 hospital$1,541–$5,502
North Conway · 1 hospital$2,229–$7,599
Beachwood · 1 hospital$2,372–$4,744
Marion · 1 hospital$2,636
Urbana · 1 hospital$3,939
Peoria · 1 hospital$3,939

14 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
FLEBOGAMMA DIF 5 % INTRAVENOUS SOLUTION Inpatient	Carle Foundation Hospital	J1572 HCPCS	$3,939	$3,939	$50.82 – $2,604	—
Flebogamma injection Outpatient	Endeavor Health Edward Hospital	J1572 HCPCS	—	—	$90.74 – $146	—
FLEBOGAMMA DIF 5 % INTRAVENOUS SOLUTION Inpatient	Methodist Medical Center of Illinois	J1572 HCPCS	$3,939	$3,939	$50.82 – $2,604	—
Flebogamma injection Outpatient	University of Chicago Medical Center	J1572 HCPCS	—	—	—	—
FLEBOGAMMA DIF 5 % INTRAVENOUS SOLUTION Inpatient	Carle BroMenn Medical Center	J1572 HCPCS	$3,939	$3,939	$50.82 – $2,604	—
IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION Outpatient	University Hospitals Ahuja Medical Center	J1572 HCPCS	$3,163	$2,372	$55.76 – $2,846	—
IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION Outpatient	University Hospitals Ahuja Medical Center	J1572 HCPCS	$6,326	$4,744	$55.76 – $5,693	—
IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION Inpatient & outpatient	Marion General Hospital	J1572 HCPCS	$4,056	$2,636	—	—
IMMUNE GLOBULIN (HUMAN) IV SOLN 5 GM/50ML Inpatient & outpatient	Providence Centralia Hospital	J1572 HCPCS	$2,964	$1,541	—	—
IMMUNE GLOBULIN (HUMAN) IV SOLN 10 GM/100ML Inpatient & outpatient	Providence Centralia Hospital	J1572 HCPCS	$5,503	$2,861	—	—
IMMUNE GLOBULIN (HUMAN) IV SOLN 20 GM/200ML Inpatient & outpatient	Providence Centralia Hospital	J1572 HCPCS	$10,580	$5,502	—	—
FLEBOGAMMA DIF 10 GM/200ML IV SOLN Outpatient	MaineHealth - Memorial Hospital	J1572 HCPCS	$3,800	$3,800	$168 – $3,572	—
FLEBOGAMMA DIF 20 GM/400ML IV SOLN Outpatient	MaineHealth - Memorial Hospital	J1572 HCPCS	$7,599	$7,599	$168 – $7,143	—
FLEBOGAMMA DIF 5 GM/100ML IV SOLN Outpatient	MaineHealth - Memorial Hospital	J1572 HCPCS	$2,229	$2,229	$168 – $2,095	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J1572 prices

Open a hospital to see this code in the context of its full published prices.

Carle Foundation Hospital Endeavor Health Edward Hospital Methodist Medical Center of Illinois University of Chicago Medical Center Carle BroMenn Medical Center University Hospitals Ahuja Medical Center Marion General Hospital Providence Centralia Hospital MaineHealth - Memorial Hospital

Code J1572: frequently asked

What does code J1572 cost?: Across the published hospital price files, the disclosed cash price for J1572 ranges from $1,541 to $7,599. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J1572?: J1572 is the billing code hospitals use to identify "FLEBOGAMMA DIF 5 % INTRAVENOUS SOLUTION" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code J1572 by state

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