HCPCS J0739

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

Current code38 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J0739 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$7.44 – $7.923 plans——
EvergreenHealth Medical CenterKirkland—$20,712$25,890
Highline Medical CenterBurienFile dated 2026-02-28—$7,481$24,500
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$14.07$27.05
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$12,308$17,582
Skagit Valley HospitalMount Vernon———
St Anthony HospitalGig HarborFile dated 2026-02-28—$7,452$24,500
St Clare HospitalLakewoodFile dated 2026-02-28—$7,062$24,500
St Elizabeth HospitalEnumclawFile dated 2026-02-28$6,860 – $8,1275 plans$8,657$24,500
St Francis Community HospitalFederal WayFile dated 2026-02-28—$7,689$24,500
St Joseph Medical CenterTacomaFile dated 2026-02-28—$8,114$24,500
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$10,813$24,500
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$11,131$23,189
Swedish IssaquahIssaquahFile dated 2026-04-01—$11,131$23,189
Swedish Medical CenterSeattleFile dated 2026-04-01—$11,131$23,189
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$11,131$23,189

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)
$7.28 (APC 0805)
Surgery center payment (national)
$7.28