HCPCS J0872

Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg

Current code9 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J0872 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.471 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2.601 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.531 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1.531 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.531 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1.471 plan——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2.031 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$89.91$173
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.531 plan——

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

CMS publishes no national amount for this code.