HCPCS J0791
Injection, crizanlizumab-tmca, 5 mg
Current codeInjection - Monoclonal Antibodies29 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | — | — |
| Island Hospital | $791 – $859 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | $980 – $1,074 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | — | $11,163 | $11,163 |
| Swedish Edmonds Hospital | — | $6,783 | $14,132 |
| Swedish Issaquah | — | $6,783 | $14,132 |
| Swedish Medical Center | — | $6,783 | $14,132 |
| Swedish Medical Center / Cherry Hill | — | $6,783 | $14,132 |
| Tacoma General Allenmore Hospital | — | $37.73 – $197 | $94.32 – $491 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $250 | $491 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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)
- $130 (APC 9359)
- Surgery center payment (national)
- $130