HCPCS J0841

Injection, crotalidae immune f(ab')2 (equine), 120 mg

Current codeInjection - Immune Globulin33 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

Prices for HCPCS J0841 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$3,045	$4,351
PeaceHealth Peace Island Medical CenterFriday Harbor	—	$2,512	$3,864
PeaceHealth Southwest Medical CenteVancouver	—	$2,512	$3,864
PeaceHealth St John Medical CenterLongview	—	$2,512	$3,864
PeaceHealth St Joseph Medical CenterBellingham	—	$2,512	$3,864
PeaceHealth United General Medical CenterSedro Woolley	—	$2,512	$3,864
Seattle Children's HospitalSeattle	—	$8,630	$8,630

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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): $1,085 (APC 9188)
Surgery center payment (national): $1,085