HCPCS J0750

Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)

Current code36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J0750 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$2.98$7.45
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$2.74 – $3.93$6.85 – $9.82
EvergreenHealth Medical CenterKirkland$1.87 – $1.915 plans$5,549$6,936
EvergreenHealth MonroeMonroe$1.82 – $1.885 plans$232 – $5,549$290 – $6,936
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$2.98$7.43
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$2.97$7.42
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$2.98$7.43
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$3.94$9.83
Seattle Children's HospitalSeattle—$8.50$8.50
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$2.08 – $80.56$5.19 – $201
Virginia Mason Medical CenterSeattle——$1.71
Yakima Valley MemorialYakimaFile dated 2026-08-27—$2.06 – $21.50$5.15 – $53.75

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)
$0.45 (APC 0806)
Surgery center payment (national)
$0.45