HCPCS J0257
Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg
Current codeInjection - Immunomodulator38 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 | $5.55 – $6.10 | — | — |
| Deaconess Medical Center | $5.55 – $6.10 | — | — |
| Harborview Medical Center | $5.64 – $6.20 | — | — |
| Highline Medical Center | $6.36 – $7.31 | $6,628 | $21,706 |
| Island Hospital | $6.59 – $6.99 | — | — |
| Kadlec Regional Medical Center | $5.66 – $6.79 | $939 | $1,341 |
| Legacy Salmon Creek Medical Center | $5.83 – $6.34 | — | — |
| Mary Bridge Children's Hospital | $5.55 – $6.10 | — | — |
| MultiCare Auburn Medical Center | $5.55 – $6.10 | — | — |
| MultiCare Covington Medical Center | $5.55 – $6.10 | — | — |
| MultiCare Good Samaritan Hospital | $5.55 – $6.10 | — | — |
| MultiCare Valley Hospital | $5.71 – $6.10 | — | — |
| Olympic Medical Center | $6.92 – $8.90 | $1,183 | $1,479 |
| Overlake Hospital Medical Center & Clinics | $5.66 – $5.89 | — | — |
| PeaceHealth Southwest Medical Cente | $5.69 – $6.54 | $3,218 | $4,951 |
| PeaceHealth St Joseph Medical Center | $5.69 – $6.26 | $9,707 | $14,933 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5.66 – $6.79 | $1,024 | $1,463 |
| Providence Centralia Hospital | $5.66 – $9.06 | $1,293 | $2,487 |
| Providence Holy Family Hospital | $5.66 – $6.23 | $1,024 | $1,463 |
| Providence Mount Carmel Hospital | — | $1,024 – $5,926 | $1,463 – $8,465 |
| Providence Regional Medical Center Everett | $5.66 – $6.23 | — | — |
| Providence St Mary Medical Center | $5.66 – $6.23 | — | — |
| Providence St Peter Hospital | $5.66 – $9.06 | $1,293 | $2,487 |
| St Anthony Hospital | $6.48 – $7.45 | $6,602 | $21,706 |
| St Clare Hospital | $6.17 – $7.10 | $6,256 | $21,706 |
| St Elizabeth Hospital | $3,907 – $4,775 | $7,670 | $21,706 |
| St Francis Community Hospital | $6.36 – $7.31 | $6,812 | $21,706 |
| St Joseph Medical Center | $6.39 – $7.45 | $7,189 | $21,706 |
| St Michael Medical Center | $6.66 – $7.19 | $9,580 | $21,706 |
| Swedish Edmonds Hospital | $5.66 – $6.79 | $996 | $2,076 |
| Swedish Issaquah | $5.66 – $6.79 | $996 | $2,076 |
| Swedish Medical Center | $5.66 – $6.79 | $996 | $2,076 |
| Swedish Medical Center / Cherry Hill | $5.66 – $6.79 | $996 | $2,076 |
| Tacoma General Allenmore Hospital | $5.55 – $6.10 | — | — |
| University of Washington Medical Ctr | $5.64 – $6.20 | — | — |
| Virginia Mason Medical Center | $3.95 – $5.92 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $5.55 – $6.21 | — | — |
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