HCPCS J0850

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Current codeInjection - Immune Globulin35 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J0850 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,772 – $1,9506 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,772 – $1,9508 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,809 – $1,9905 plans——
Highline Medical CenterBurienFile dated 2026-02-28$2,014 – $2,31611 plans$2,432 – $7,297$7,966 – $23,896
Island HospitalAnacortes$2,113 – $2,24011 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,809 – $2,1707 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1,863 – $2,0266 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,772 – $1,9507 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,772 – $1,9507 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,772 – $1,9507 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,772 – $1,9507 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,826 – $1,9507 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$2,218 – $2,8525 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,809 – $1,8813 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,809 – $2,1707 plans$4,316$6,165
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,809 – $2,8946 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1,809 – $1,9895 plans$4,316$6,165
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,809 – $1,9896 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,809 – $1,9895 plans$4,644$6,634
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,809 – $2,8946 plans$5,324$10,239
St Anthony HospitalGig HarborFile dated 2026-02-28$2,051 – $2,35912 plans$2,423 – $7,268$7,966 – $23,896
St Clare HospitalLakewoodFile dated 2026-02-28$2,054 – $2,36212 plans$2,296 – $6,888$7,966 – $23,896
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,434 – $5,25712 plans$2,815 – $8,444$7,966 – $23,896
St Francis Community HospitalFederal WayFile dated 2026-02-28$2,014 – $2,31612 plans$2,500 – $7,499$7,966 – $23,896
St Joseph Medical CenterTacomaFile dated 2026-02-28$2,051 – $2,35912 plans$2,638 – $7,914$7,966 – $23,896
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,109 – $2,27710 plans$3,516 – $10,547$7,966 – $23,896
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,809 – $2,1707 plans$4,744$9,882
Swedish IssaquahIssaquahFile dated 2026-04-01$1,809 – $2,1707 plans$4,744$9,882
Swedish Medical CenterSeattleFile dated 2026-04-01$1,809 – $2,1707 plans$4,744$9,882
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,809 – $2,1707 plans$4,744$9,882
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,772 – $1,9507 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,809 – $1,9905 plans——
Virginia Mason Medical CenterSeattle$1,266 – $1,8999 plans$2,972$5,827
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,772 – $1,9858 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)
$1,857 (APC 0903)
Surgery center payment (national)
$1,857