HCPCS J0257
Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg
Current codeInjection - Immunomodulator38 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) |
|---|---|---|---|
| Highline Medical Center | — | $6,628 | $21,706 |
| Kadlec Regional Medical Center | — | $939 | $1,341 |
| Olympic Medical Center | — | $1,183 | $1,479 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,024 | $1,463 |
| Providence Centralia Hospital | — | $1,293 | $2,487 |
| Providence Holy Family Hospital | — | $1,024 | $1,463 |
| Providence Mount Carmel Hospital | — | $1,024 – $5,926 | $1,463 – $8,465 |
| Providence St Peter Hospital | — | $1,293 | $2,487 |
| St Anthony Hospital | — | $6,602 | $21,706 |
| St Clare Hospital | — | $6,256 | $21,706 |
| St Elizabeth Hospital | — | $7,670 | $21,706 |
| St Francis Community Hospital | — | $6,812 | $21,706 |
| St Joseph Medical Center | — | $7,189 | $21,706 |
| St Michael Medical Center | — | $9,580 | $21,706 |
| Swedish Edmonds Hospital | — | $996 | $2,076 |
| Swedish Issaquah | — | $996 | $2,076 |
| Swedish Medical Center | — | $996 | $2,076 |
| Swedish Medical Center / Cherry Hill | — | $996 | $2,076 |
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