CPT 90396
Injection - Immune Globulin
Current code35 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $394 – $584 | — | — |
| Deaconess Medical Center | $360 – $382 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $609 – $15,636 | $1,993 – $51,205 |
| Island Hospital | $372 – $403 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $373 – $403 | — | — |
| MultiCare Auburn Medical Center | $366 – $395 | — | — |
| MultiCare Covington Medical Center | $366 – $395 | — | — |
| MultiCare Good Samaritan Hospital | $375 – $404 | — | — |
| MultiCare Valley Hospital | $358 – $379 | — | — |
| Olympic Medical Center | $461 – $505 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | $3,075 | $5,914 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $606 – $15,574 | $1,993 – $51,205 |
| St Clare Hospital | — | $574 – $14,759 | $1,993 – $51,205 |
| St Elizabeth Hospital | $339 – $10,599 | $704 – $18,094 | $1,993 – $51,205 |
| St Francis Community Hospital | — | $625 – $16,069 | $1,993 – $51,205 |
| St Joseph Medical Center | — | $660 – $16,959 | $1,993 – $51,205 |
| St Michael Medical Center | — | $880 – $22,599 | $1,993 – $51,205 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $375 – $405 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $358 – $416 | — | — |
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