Every billing code / HCPCS J0256 / St Michael Medical Center
HCPCS J0256 at St Michael Medical Center
Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg
St Michael Medical Center, Silverdale
Description from CMS's HCPCS Level II code file.
What St Michael Medical Center publishes for this code: as an outpatient
St Michael Medical Center’s prices for HCPCS J0256, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $5.31 – $19,27818 plans | — |
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| Medicare AdvantageInsurer rates | $6.04 – $6.5210 plans | — |
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| Cash pricePaying yourself, without insurance | $9,454 | — |
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| List priceBefore any discount; few people pay it | $21,420 | — |
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Lowest and highest amounts St Michael Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
What St Michael Medical Center publishes for this code: during a hospital stay
St Michael Medical Center’s prices for HCPCS J0256, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|
| Commercial insuranceInsurer rates | $13,495 – $19,27810 plans | — |
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| Cash pricePaying yourself, without insurance | $9,454 | — |
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| List priceBefore any discount; few people pay it | $21,420 | — |
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Lowest and highest amounts St Michael Medical Center lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for HCPCS J0256 at St Michael Medical Center| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The drug, per billing unit | — | The price above |
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Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.
Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare HCPCS J0256 at every Washington hospital, with Medicare’s reference amounts.