HCPCS J0175

Injection, donanemab-azbt, 2 mg

Current codeInjection - Monoclonal Antibodies35 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J0175 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$5.73 – $24.407 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$5.08 – $18.248 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$4.38 – $8.973 plans——
Highline Medical CenterBurienFile dated 2026-02-28$1,866 – $3,9065 plans$1,325$4,340
Island HospitalAnacortes$4.17 – $8.686 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$7.00 – $15.547 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$5.22 – $9.918 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$9.42 – $32.175 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$5.73 – $18.948 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$5.73 – $18.948 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5.73 – $18.948 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$5.73 – $18.208 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3.68 – $12.0311 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$6.14 – $13.7311 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$4.09 – $26.7910 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$4.97 – $12.749 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$4.97 – $9.609 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$4.09 – $12.187 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3.52 – $13.5211 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$2,170 – $3,2553 plans$1,320$4,340
St Clare HospitalLakewoodFile dated 2026-02-28$2,170 – $3,2553 plans$1,251$4,340
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,445 – $3,9066 plans$1,534$4,340
St Francis Community HospitalFederal WayFile dated 2026-02-28$2,170 – $3,2553 plans$1,362$4,340
St Joseph Medical CenterTacomaFile dated 2026-02-28$2,170 – $3,2553 plans$1,437$4,340
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,778 – $3,90610 plans$1,915$4,340
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$4.91 – $10.5210 plans$1,948$4,058
Swedish IssaquahIssaquahFile dated 2026-04-01$4.09 – $9.199 plans$1,948$4,058
Swedish Medical CenterSeattleFile dated 2026-04-01$4.09 – $14.7916 plans$1,948$4,058
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$4.09 – $14.7910 plans$1,948$4,058
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$5.73 – $18.948 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$4.38 – $12.9611 plans——
Virginia Mason Medical CenterSeattle$4.09 – $14.516 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$10.451 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$6.49 – $9.416 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)
$4.19 (APC 0765)
Surgery center payment (national)
$4.19