HCPCS J0738
Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
Current code15 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 | $16.13 – $29.19 | — | — |
| Deaconess Medical Center | $16.13 – $71.94 | — | — |
| Harborview Medical Center | $17.10 – $35.03 | — | — |
| Legacy Salmon Creek Medical Center | $25.41 – $38.71 | — | — |
| Mary Bridge Children's Hospital | $127 | — | — |
| MultiCare Auburn Medical Center | $16.13 – $74.68 | — | — |
| MultiCare Covington Medical Center | $16.13 – $74.68 | — | — |
| MultiCare Good Samaritan Hospital | $16.13 – $74.68 | — | — |
| MultiCare Valley Hospital | $16.13 – $71.78 | — | — |
| Providence Regional Medical Center Everett | — | $27.04 | $52.00 |
| Tacoma General Allenmore Hospital | $16.13 – $74.68 | — | — |
| University of Washington Medical Ctr | $17.10 – $50.59 | — | — |
| Virginia Mason Medical Center | $16.13 | — | — |
| Wellfound Behavioral Health Hospital | $40.64 | — | — |
| Yakima Valley Memorial | $25.25 – $26.99 | — | — |
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)
- $16.02 (APC 0880)
- Surgery center payment (national)
- $16.02