HCPCS J0739 at EvergreenHealth Medical Center

Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)

EvergreenHealth Medical Center, Kirkland

Description from CMS's HCPCS Level II code file.

What EvergreenHealth Medical Center publishes for this code: as an outpatient

EvergreenHealth Medical Center’s prices for HCPCS J0739, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$6.89 – $24,07825 plans	—
Medicare AdvantageInsurer rates	$7.10 – $7.245 plans	—
UnknownInsurer rates	$23,3011 plan	—
Cash pricePaying yourself, without insurance	$20,712	—
List priceBefore any discount; few people pay it	$25,890	—

Lowest and highest amounts EvergreenHealth Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS J0739 at EvergreenHealth Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The drug, per billing unit	—	The price above

Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS J0739 at every Washington hospital, with Medicare’s reference amounts.