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
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 | $15.78 – $17.36 | — | — |
| Deaconess Medical Center | $15.78 – $17.36 | — | — |
| Harborview Medical Center | $16.13 – $17.75 | — | — |
| Legacy Salmon Creek Medical Center | $16.59 – $18.04 | — | — |
| Mary Bridge Children's Hospital | $15.78 – $17.36 | — | — |
| MultiCare Auburn Medical Center | $15.78 – $17.36 | — | — |
| MultiCare Covington Medical Center | $15.78 – $17.36 | — | — |
| MultiCare Good Samaritan Hospital | $15.78 – $17.36 | — | — |
| MultiCare Valley Hospital | $16.25 – $17.36 | — | — |
| Providence Regional Medical Center Everett | — | $27.04 | $52.00 |
| Tacoma General Allenmore Hospital | $15.78 – $17.36 | — | — |
| University of Washington Medical Ctr | $16.13 – $17.75 | — | — |
| Virginia Mason Medical Center | $11.29 – $16.94 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $15.78 – $17.67 | — | — |
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