HCPCS J0850
Injection, cytomegalovirus immune globulin intravenous (human), per vial
Current codeInjection - Immune Globulin35 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 | $3,340 – $4,948 | — | — |
| Deaconess Medical Center | $3,056 – $3,235 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $2,432 – $7,297 | $7,966 – $23,896 |
| Island Hospital | $3,153 – $3,421 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $3,160 – $3,413 | — | — |
| MultiCare Auburn Medical Center | $3,103 – $3,352 | — | — |
| MultiCare Covington Medical Center | $3,103 – $3,352 | — | — |
| MultiCare Good Samaritan Hospital | $3,175 – $3,429 | — | — |
| MultiCare Valley Hospital | $3,034 – $3,212 | — | — |
| Olympic Medical Center | $3,906 – $4,278 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,316 | $6,165 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $4,316 | $6,165 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $4,644 | $6,634 |
| Providence St Peter Hospital | — | $5,324 | $10,239 |
| St Anthony Hospital | — | $2,423 – $7,268 | $7,966 – $23,896 |
| St Clare Hospital | — | $2,296 – $6,888 | $7,966 – $23,896 |
| St Elizabeth Hospital | $1,354 – $4,947 | $2,815 – $8,444 | $7,966 – $23,896 |
| St Francis Community Hospital | — | $2,500 – $7,499 | $7,966 – $23,896 |
| St Joseph Medical Center | — | $2,638 – $7,914 | $7,966 – $23,896 |
| St Michael Medical Center | — | $3,516 – $10,547 | $7,966 – $23,896 |
| Swedish Edmonds Hospital | — | $4,744 | $9,882 |
| Swedish Issaquah | — | $4,744 | $9,882 |
| Swedish Medical Center | — | $4,744 | $9,882 |
| Swedish Medical Center / Cherry Hill | — | $4,744 | $9,882 |
| Tacoma General Allenmore Hospital | $3,176 – $3,430 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $2,972 | $5,827 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $3,035 – $3,526 | — | — |
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)
- $1,857 (APC 0903)
- Surgery center payment (national)
- $1,857