HCPCS J0752

Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)

Current code14 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J0752 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$623 – $1,1283 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$623 – $2,0034 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$476 – $9753 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$707 – $1,2444 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,5321 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$623 – $2,0794 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$623 – $2,0794 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$623 – $2,0794 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$623 – $1,9984 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$623 – $2,0794 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$476 – $1,4086 plans——
Virginia Mason Medical CenterSeattle$4491 plan——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,5701 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$975 – $1,0422 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)
$618 (APC 0881)
Surgery center payment (national)
$618