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Cytomegalovirus Immune Globulin Intravenous Injection

Pennsylvania rates for HCPCS J0850 · Cytogam

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Rates data updated October 2026.

How much does Cytogam (human cytomegalovirus immune globulin) cost?

$1,862

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $2,089 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,862$1,862 to $1,950
FacilityA hospital or hospital-owned outpatient department$2,089$1,862 to $2,630

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,862 to $6,761Professionalmedian $1,862 · 10th to 90th $1,820 to $2,042
$2K$5Kfacility $2,089professional $1,862

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$1,995.26
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$3,090.30
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Geisinger
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Geisinger
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$2,754.23
Typical High
$4,786.30
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$2,290.87
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,041.74
United
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,511.89

Where Pennsylvania sits

The same service costs 3.2 times more in Alabama than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 40th of 51

$1,862

AL $5,623HI $1,738

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.