HCPCS J1568
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg
Current codeInjection - Immune Globulin36 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) |
|---|---|---|---|
| Highline Medical Center | — | $11,021 – $27,558 | $36,092 – $90,250 |
| Mary Bridge Children's Hospital | — | $98.69 | $247 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,302 – $5,208 | $1,860 – $7,440 |
| Providence Holy Family Hospital | — | $1,302 – $5,208 | $1,860 – $7,440 |
| Providence Mount Carmel Hospital | — | $1,302 – $5,208 | $1,860 – $7,440 |
| St Anthony Hospital | — | $10,977 – $27,449 | $36,092 – $90,250 |
| St Clare Hospital | — | $10,403 – $26,014 | $36,092 – $90,250 |
| St Elizabeth Hospital | — | $12,754 – $31,891 | $36,092 – $90,250 |
| St Francis Community Hospital | — | $11,327 – $28,322 | $36,092 – $90,250 |
| St Joseph Medical Center | — | $11,954 – $29,890 | $36,092 – $90,250 |
| St Michael Medical Center | — | $15,929 – $39,831 | $36,092 – $90,250 |
| Tacoma General Allenmore Hospital | — | $78.05 – $92.05 | $195 – $230 |
| Virginia Mason Medical Center | — | $80.33 – $92.32 | $158 – $181 |
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)
- $47.13 (APC 0943)
- Surgery center payment (national)
- $47.13