HCPCS J0740

Injection, cidofovir, 375 mg

Current code44 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 J0740 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$431 – $6385 plans——
Cascade Valley HospitalArlington$325 – $2,8504 plans$1,705 – $2,278$2,131 – $2,848
Deaconess Medical CenterSpokaneFile dated 2026-08-27$394 – $4175 plans——
EvergreenHealth Medical CenterKirkland—$3,630$4,538
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$2,664$8,725
Island HospitalAnacortes$407 – $4413 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$408 – $4405 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$400 – $4325 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$400 – $4325 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$410 – $4425 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$392 – $4155 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$504 – $5525 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Peace Island Medical CenterFriday Harbor—$1,031$1,587
PeaceHealth Southwest Medical CenteVancouver$5451 plan$1,031$1,587
PeaceHealth St John Medical CenterLongview$409 – $5513 plans$1,031$1,587
PeaceHealth St Joseph Medical CenterBellingham$5512 plans$1,031$1,587
PeaceHealth United General Medical CenterSedro Woolley—$1,031$1,587
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,635$2,335
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,635$2,335
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,932$3,716
Seattle Children's HospitalSeattle$2,446 – $3,09412 plans$9,518$9,518
Skagit Valley HospitalMount Vernon$450 – $5964 plans$1,705 – $2,278$2,131 – $2,848
St Anthony HospitalGig HarborFile dated 2026-02-28—$2,654$8,725
St Clare HospitalLakewoodFile dated 2026-02-28—$2,515$8,725
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,483 – $1,8065 plans$3,083$8,725
St Francis Community HospitalFederal WayFile dated 2026-02-28—$2,738$8,725
St Joseph Medical CenterTacomaFile dated 2026-02-28—$2,890$8,725
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$3,851$8,725
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$968$2,016
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,591$3,314
Swedish Medical CenterSeattleFile dated 2026-04-01—$968 – $1,591$2,016 – $3,314
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,591$3,314
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$410 – $4435 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$392 – $4555 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$522 (APC 9033)
Surgery center payment (national)
$522