HCPCS J0840

Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram

Current codeInjection - Immune Globulin30 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 J0840 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,705 – $15,21916 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,492 – $9,2679 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,938 – $3,9714 plans——
Island HospitalAnacortes$1,827 – $3,8456 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,950 – $6,87911 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2,880 – $4,6498 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,379 – $22,9089 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,273 – $14,97517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,273 – $14,97517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,492 – $14,97512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,492 – $9,24610 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,602 – $22,46315 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,521 – $7,00114 plans$3,349 – $4,190$4,784 – $5,986
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,894 – $11,26313 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1,950 – $5,66711 plans$3,349 – $4,190$4,784 – $5,986
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$3,349$4,784
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,657 – $7,15312 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,894 – $11,71310 plans$3,603 – $4,508$5,147 – $6,441
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,565 – $9,43614 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,262 – $6,97014 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,894 – $8,82713 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,894 – $8,82720 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,894 – $6,57614 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,273 – $11,08217 plans——
Three Rivers HospitalBrewster—$4,974$4,974
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,938 – $5,73513 plans——
Virginia Mason Medical CenterSeattle$1,762 – $6,3138 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4,6461 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,887 – $11,26213 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)
$2,044 (APC 9274)
Surgery center payment (national)
$2,044