HCPCS J0257
Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg
Current codeInjection - Immunomodulator38 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4.85 – $32.85 | — | — |
| Deaconess Medical Center | $7.71 – $22.97 | — | — |
| Harborview Medical Center | $5.88 – $12.25 | — | — |
| Highline Medical Center | $5.35 – $19,535 | $6,628 | $21,706 |
| Island Hospital | $5.69 – $11.86 | — | — |
| Kadlec Regional Medical Center | $5.35 – $20.94 | $939 | $1,341 |
| Legacy Salmon Creek Medical Center | $6.14 – $13.54 | — | — |
| Mary Bridge Children's Hospital | $5.34 – $4,164 | — | — |
| MultiCare Auburn Medical Center | $5.19 – $23.84 | — | — |
| MultiCare Covington Medical Center | $5.19 – $23.84 | — | — |
| MultiCare Good Samaritan Hospital | $7.71 – $23.84 | — | — |
| MultiCare Valley Hospital | $5.93 – $22.92 | — | — |
| Olympic Medical Center | $827 – $1,479 | $1,183 | $1,479 |
| Overlake Hospital Medical Center & Clinics | $4.96 – $35.67 | — | — |
| PeaceHealth Southwest Medical Cente | $2.28 – $18.46 | $3,218 | $4,951 |
| PeaceHealth St Joseph Medical Center | $5.69 | $9,707 | $14,933 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4.18 – $18.78 | $1,024 | $1,463 |
| Providence Centralia Hospital | $5.39 – $34.95 | $1,293 | $2,487 |
| Providence Holy Family Hospital | $5.35 – $17.42 | $1,024 | $1,463 |
| Providence Mount Carmel Hospital | — | $1,024 – $5,926 | $1,463 – $8,465 |
| Providence Regional Medical Center Everett | $4.55 – $13.13 | — | — |
| Providence St Mary Medical Center | $5.39 – $33.30 | — | — |
| Providence St Peter Hospital | $4.81 – $18.48 | $1,293 | $2,487 |
| St Anthony Hospital | $5.35 – $16,279 | $6,602 | $21,706 |
| St Clare Hospital | $5.35 – $16,279 | $6,256 | $21,706 |
| St Elizabeth Hospital | $4.82 – $19,535 | $7,670 | $21,706 |
| St Francis Community Hospital | $5.35 – $16,279 | $6,812 | $21,706 |
| St Joseph Medical Center | $5.35 – $16,279 | $7,189 | $21,706 |
| St Michael Medical Center | $5.93 – $19,535 | $9,580 | $21,706 |
| Swedish Edmonds Hospital | $5.84 – $14.38 | $996 | $2,076 |
| Swedish Issaquah | $5.84 – $14.02 | $996 | $2,076 |
| Swedish Medical Center | $5.39 – $20.22 | $996 | $2,076 |
| Swedish Medical Center / Cherry Hill | $5.39 – $20.22 | $996 | $2,076 |
| Tacoma General Allenmore Hospital | $5.19 – $23.84 | — | — |
| University of Washington Medical Ctr | $5.88 – $17.68 | — | — |
| Virginia Mason Medical Center | $5.58 – $19.55 | — | — |
| Wellfound Behavioral Health Hospital | $14.28 | — | — |
| Yakima Valley Memorial | $8.87 – $17.89 | — | — |
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)
- $5.64 (APC 1415)
- Surgery center payment (national)
- $5.64