HCPCS J0175
Injection, donanemab-azbt, 2 mg
Current codeInjection - Monoclonal Antibodies35 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4.06 – $4.46 | — | — |
| Deaconess Medical Center | $4.06 – $4.46 | — | — |
| Harborview Medical Center | $4.13 – $4.55 | — | — |
| Highline Medical Center | — | $1,325 | $4,340 |
| Island Hospital | $4.82 – $5.11 | — | — |
| Kadlec Regional Medical Center | $4.14 – $4.97 | — | — |
| Legacy Salmon Creek Medical Center | $4.26 – $4.64 | — | — |
| Mary Bridge Children's Hospital | $4.06 – $4.46 | — | — |
| MultiCare Auburn Medical Center | $4.06 – $4.46 | — | — |
| MultiCare Covington Medical Center | $4.06 – $4.46 | — | — |
| MultiCare Good Samaritan Hospital | $4.06 – $4.46 | — | — |
| MultiCare Valley Hospital | $4.18 – $4.46 | — | — |
| Olympic Medical Center | $5.06 – $6.51 | — | — |
| Overlake Hospital Medical Center & Clinics | $4.14 – $4.31 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4.14 – $4.97 | — | — |
| Providence Centralia Hospital | $4.14 – $6.62 | — | — |
| Providence Holy Family Hospital | $4.14 – $4.55 | — | — |
| Providence Regional Medical Center Everett | $4.14 – $4.55 | — | — |
| Providence St Mary Medical Center | $4.14 – $4.55 | — | — |
| Providence St Peter Hospital | $4.14 – $6.62 | — | — |
| St Anthony Hospital | — | $1,320 | $4,340 |
| St Clare Hospital | — | $1,251 | $4,340 |
| St Elizabeth Hospital | $781 – $955 | $1,534 | $4,340 |
| St Francis Community Hospital | — | $1,362 | $4,340 |
| St Joseph Medical Center | — | $1,437 | $4,340 |
| St Michael Medical Center | — | $1,915 | $4,340 |
| Swedish Edmonds Hospital | $4.14 – $4.97 | $1,948 | $4,058 |
| Swedish Issaquah | $4.14 – $4.97 | $1,948 | $4,058 |
| Swedish Medical Center | $4.14 – $4.97 | $1,948 | $4,058 |
| Swedish Medical Center / Cherry Hill | $4.14 – $4.97 | $1,948 | $4,058 |
| Tacoma General Allenmore Hospital | $4.06 – $4.46 | — | — |
| University of Washington Medical Ctr | $4.13 – $4.55 | — | — |
| Virginia Mason Medical Center | $2.89 – $4.34 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4.06 – $4.54 | — | — |
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