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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 90396 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,316 – $2,5486 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,316 – $2,5488 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,362 – $2,5985 plans——
Highline Medical CenterBurienFile dated 2026-02-28$2,627 – $3,02111 plans$609 – $15,636$1,993 – $51,205
Island HospitalAnacortes$2,759 – $2,92511 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,363 – $2,8367 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2,434 – $2,6476 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,316 – $2,5487 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,316 – $2,5487 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,316 – $2,5487 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,316 – $2,5487 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,385 – $2,5487 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$2,897 – $3,7255 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,363 – $2,4583 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,363 – $2,8367 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,363 – $3,7817 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,363 – $2,6005 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,363 – $2,6006 plans$3,075$5,914
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2,363 – $2,6006 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2,363 – $3,7817 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$2,675 – $3,07612 plans$606 – $15,574$1,993 – $51,205
St Clare HospitalLakewoodFile dated 2026-02-28$2,555 – $2,93812 plans$574 – $14,759$1,993 – $51,205
St Elizabeth HospitalEnumclawFile dated 2026-02-28$359 – $11,26512 plans$704 – $18,094$1,993 – $51,205
St Francis Community HospitalFederal WayFile dated 2026-02-28$2,627 – $3,02112 plans$625 – $16,069$1,993 – $51,205
St Joseph Medical CenterTacomaFile dated 2026-02-28$2,675 – $3,07612 plans$660 – $16,959$1,993 – $51,205
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,750 – $2,97010 plans$880 – $22,599$1,993 – $51,205
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,363 – $2,8368 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,363 – $2,8368 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,363 – $2,8368 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,363 – $2,8368 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,316 – $2,5487 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,362 – $2,5985 plans——
Virginia Mason Medical CenterSeattle$1,653 – $2,4809 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,316 – $2,5948 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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