CPT 90396

Injection - Immune Globulin

Current code35 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 90396 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28	—	$609 – $15,636	$1,993 – $51,205
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$3,075	$5,914
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$606 – $15,574	$1,993 – $51,205
St Clare HospitalLakewoodFile dated 2026-02-28	—	$574 – $14,759	$1,993 – $51,205
St Elizabeth HospitalEnumclawFile dated 2026-02-28	$558 – $16,9855 plans	$704 – $18,094	$1,993 – $51,205
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$625 – $16,069	$1,993 – $51,205
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$660 – $16,959	$1,993 – $51,205
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$880 – $22,599	$1,993 – $51,205

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national): $2,497 (APC 9135)
Surgery center payment (national): $2,497