HCPCS J0751 at Providence Holy Family Hospital

Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)

Providence Holy Family Hospital, Spokane

Description from CMS's HCPCS Level II code file.

What Providence Holy Family Hospital publishes for this code: as an outpatient

Providence Holy Family Hospital’s prices for HCPCS J0751, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$85.72 – $2208 plans	—
Medicare AdvantageInsurer rates	$71.44 – $78.585 plans	—
Cash pricePaying yourself, without insurance	—	—
List priceBefore any discount; few people pay it	—	—

Lowest and highest amounts Providence Holy Family Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-04-01. 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 the rest of Washington 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 J0751 at Providence Holy Family Hospital
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 J0751 at every Washington hospital, with Medicare’s reference amounts.