HCPCS J0840
Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
Current codeInjection - Immune Globulin30 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,804 – $1,985 | — | — |
| Deaconess Medical Center | $1,804 – $1,985 | — | — |
| Harborview Medical Center | $1,829 – $2,012 | — | — |
| Island Hospital | $2,136 – $2,264 | — | — |
| Kadlec Regional Medical Center | $1,841 – $2,209 | — | — |
| Legacy Salmon Creek Medical Center | $1,896 – $2,062 | — | — |
| Mary Bridge Children's Hospital | $1,804 – $1,985 | — | — |
| MultiCare Auburn Medical Center | $1,804 – $1,985 | — | — |
| MultiCare Covington Medical Center | $1,804 – $1,985 | — | — |
| MultiCare Good Samaritan Hospital | $1,804 – $1,985 | — | — |
| MultiCare Valley Hospital | $1,858 – $1,985 | — | — |
| Olympic Medical Center | $2,243 – $2,884 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,841 – $1,915 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,841 – $2,209 | $3,349 – $4,190 | $4,784 – $5,986 |
| Providence Centralia Hospital | $1,841 – $2,946 | — | — |
| Providence Holy Family Hospital | $1,841 – $2,025 | $3,349 – $4,190 | $4,784 – $5,986 |
| Providence Mount Carmel Hospital | — | $3,349 | $4,784 |
| Providence Regional Medical Center Everett | $1,841 – $2,025 | — | — |
| Providence St Mary Medical Center | $1,841 – $2,025 | $3,603 – $4,508 | $5,147 – $6,441 |
| Providence St Peter Hospital | $1,841 – $2,946 | — | — |
| Swedish Edmonds Hospital | $1,841 – $2,209 | — | — |
| Swedish Issaquah | $1,841 – $2,209 | — | — |
| Swedish Medical Center | $1,841 – $2,209 | — | — |
| Swedish Medical Center / Cherry Hill | $1,841 – $2,209 | — | — |
| Tacoma General Allenmore Hospital | $1,804 – $1,985 | — | — |
| Three Rivers Hospital | — | $4,974 | $4,974 |
| University of Washington Medical Ctr | $1,829 – $2,012 | — | — |
| Virginia Mason Medical Center | $1,280 – $1,920 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,804 – $2,021 | — | — |
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