HCPCS J0840
Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
Current codeInjection - Immune Globulin33 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 | $6,819 – $10,102 | — | — |
| Deaconess Medical Center | $6,239 – $6,606 | — | — |
| Garfield County Public Hospital District #1 | — | $4,971 | $5,848 |
| Harborview Medical Center | — | — | — |
| Island Hospital | $6,437 – $6,984 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Lincoln Hospital | $983 – $1,042 | $1,891 | $2,101 |
| Mary Bridge Children's Hospital | $6,453 – $6,969 | — | — |
| MultiCare Auburn Medical Center | $6,336 – $6,843 | — | — |
| MultiCare Covington Medical Center | $6,336 – $6,843 | — | — |
| MultiCare Good Samaritan Hospital | $6,483 – $7,001 | — | — |
| MultiCare Valley Hospital | $6,194 – $6,559 | — | — |
| Olympic Medical Center | $7,975 – $8,734 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $3,349 – $4,190 | $4,784 – $5,986 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $3,349 – $4,190 | $4,784 – $5,986 |
| Providence Mount Carmel Hospital | — | $3,349 | $4,784 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $3,603 – $4,508 | $5,147 – $6,441 |
| Providence St Peter Hospital | — | — | — |
| Quincy Valley Medical Center | $3,863 | $7,291 | $7,291 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $6,485 – $7,004 | — | — |
| Three Rivers Hospital | $3,482 | $4,974 | $4,974 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $6,197 – $7,200 | — | — |
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