HCPCS J0256

Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg

Current codeInjection - Immunomodulator44 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J0256 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$5.04 – $5.546 plans——
Cascade Valley HospitalArlington$5.09 – $5.343 plans$8,856$11,070
Deaconess Medical CenterSpokaneFile dated 2026-08-27$5.04 – $5.548 plans$7.35 – $7.36$18.36 – $18.40
EvergreenHealth Medical CenterKirkland$5.06 – $5.165 plans$2,408$3,010
Harborview Medical CenterSeattleFile dated 2026-04-01$5.46 – $6.005 plans——
Highline Medical CenterBurienFile dated 2026-02-28$5.77 – $6.6411 plans$6,541$21,420
Island HospitalAnacortes$6.38 – $6.7611 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$5.14 – $6.177 plans$1,257$1,795
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$5.30 – $5.766 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$5.04 – $5.547 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$5.04 – $5.547 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$5.04 – $5.547 plans$7.36 – $7.50$18.40 – $18.73
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5.04 – $5.547 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$5.19 – $5.547 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$6.70 – $8.615 plans$1,528$1,910
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$5.14 – $5.353 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$114 – $131$175 – $202
PeaceHealth Southwest Medical CenteVancouver$5.37 – $6.1813 plans$114 – $3,378$175 – $5,196
PeaceHealth St John Medical CenterLongview$4.19 – $5.9114 plans$114 – $131$175 – $202
PeaceHealth St Joseph Medical CenterBellingham$5.37 – $5.918 plans$114 – $929$175 – $1,429
PeaceHealth United General Medical CenterSedro Woolley—$114 – $131$175 – $202
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$5.14 – $6.177 plans$1,371$1,958
Providence Centralia HospitalCentraliaFile dated 2026-04-01$5.14 – $8.236 plans$1,178 – $1,656$2,265 – $3,185
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$5.14 – $5.665 plans$1,371$1,958
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,091 – $1,371$1,559 – $1,958
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5.14 – $5.666 plans$878$1,689
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$5.14 – $5.665 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$5.14 – $8.236 plans$1,178 – $1,656$2,265 – $3,185
Skagit Valley HospitalMount Vernon$5.09 – $5.504 plans$8,856$11,070
St Anthony HospitalGig HarborFile dated 2026-02-28$5.88 – $6.7612 plans$6,515$21,420
St Clare HospitalLakewoodFile dated 2026-02-28$5.85 – $6.7312 plans$6,174$21,420
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3,856 – $4,71212 plans$7,569$21,420
St Francis Community HospitalFederal WayFile dated 2026-02-28$5.77 – $6.6412 plans$6,722$21,420
St Joseph Medical CenterTacomaFile dated 2026-02-28$5.75 – $6.7612 plans$7,094$21,420
St Michael Medical CenterSilverdaleFile dated 2026-02-28$6.04 – $6.5210 plans$9,454$21,420
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$5.14 – $6.177 plans$889 – $1,334$1,853 – $2,779
Swedish IssaquahIssaquahFile dated 2026-04-01$5.14 – $6.177 plans$889 – $1,334$1,853 – $2,779
Swedish Medical CenterSeattleFile dated 2026-04-01$5.14 – $6.177 plans$889 – $1,334$1,853 – $2,779
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5.14 – $6.177 plans$889 – $1,334$1,853 – $2,779
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$5.04 – $5.547 plans$7.40 – $7.45$18.50 – $18.62
University of Washington Medical CtrSeattleFile dated 2026-04-01$5.46 – $6.005 plans——
Virginia Mason Medical CenterSeattle$3.82 – $5.739 plans$9.42$18.48
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$5.04 – $5.648 plans$10.40 – $10.46$26.00 – $26.13

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)
$5.08 (APC 0901)
Surgery center payment (national)
$5.08