HCPCS J0175
Injection, donanemab-azbt, 2 mg
Current codeInjection - Monoclonal Antibodies35 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $1,325 | $4,340 |
| Island Hospital | $4.82 – $5.07 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $1,320 | $4,340 |
| St Clare Hospital | — | $1,251 | $4,340 |
| St Elizabeth Hospital | — | $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 | — | $1,948 | $4,058 |
| Swedish Issaquah | — | $1,948 | $4,058 |
| Swedish Medical Center | — | $1,948 | $4,058 |
| Swedish Medical Center / Cherry Hill | — | $1,948 | $4,058 |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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