HCPCS J0175
Injection, donanemab-azbt, 2 mg
Current codeInjection - Monoclonal Antibodies35 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $5.73 – $24.40 | — | — |
| Deaconess Medical Center | $5.08 – $18.24 | — | — |
| Harborview Medical Center | $4.38 – $8.97 | — | — |
| Highline Medical Center | $1,866 – $3,906 | $1,325 | $4,340 |
| Island Hospital | $4.17 – $8.68 | — | — |
| Kadlec Regional Medical Center | $7.00 – $15.54 | — | — |
| Legacy Salmon Creek Medical Center | $5.22 – $9.91 | — | — |
| Mary Bridge Children's Hospital | $9.42 – $32.17 | — | — |
| MultiCare Auburn Medical Center | $5.73 – $18.94 | — | — |
| MultiCare Covington Medical Center | $5.73 – $18.94 | — | — |
| MultiCare Good Samaritan Hospital | $5.73 – $18.94 | — | — |
| MultiCare Valley Hospital | $5.73 – $18.20 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $3.68 – $12.03 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $6.14 – $13.73 | — | — |
| Providence Centralia Hospital | $4.09 – $26.79 | — | — |
| Providence Holy Family Hospital | $4.97 – $12.74 | — | — |
| Providence Regional Medical Center Everett | $4.97 – $9.60 | — | — |
| Providence St Mary Medical Center | $4.09 – $12.18 | — | — |
| Providence St Peter Hospital | $3.52 – $13.52 | — | — |
| St Anthony Hospital | $2,170 – $3,255 | $1,320 | $4,340 |
| St Clare Hospital | $2,170 – $3,255 | $1,251 | $4,340 |
| St Elizabeth Hospital | $1,445 – $3,906 | $1,534 | $4,340 |
| St Francis Community Hospital | $2,170 – $3,255 | $1,362 | $4,340 |
| St Joseph Medical Center | $2,170 – $3,255 | $1,437 | $4,340 |
| St Michael Medical Center | $2,778 – $3,906 | $1,915 | $4,340 |
| Swedish Edmonds Hospital | $4.91 – $10.52 | $1,948 | $4,058 |
| Swedish Issaquah | $4.09 – $9.19 | $1,948 | $4,058 |
| Swedish Medical Center | $4.09 – $14.79 | $1,948 | $4,058 |
| Swedish Medical Center / Cherry Hill | $4.09 – $14.79 | $1,948 | $4,058 |
| Tacoma General Allenmore Hospital | $5.73 – $18.94 | — | — |
| University of Washington Medical Ctr | $4.38 – $12.96 | — | — |
| Virginia Mason Medical Center | $4.09 – $14.51 | — | — |
| Wellfound Behavioral Health Hospital | $10.45 | — | — |
| Yakima Valley Memorial | $6.49 – $9.41 | — | — |
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)
- $4.19 (APC 0765)
- Surgery center payment (national)
- $4.19