HCPCS J1568

Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg

Current codeInjection - Immune Globulin36 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 J1568 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$46.09 – $50.706 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$46.09 – $50.708 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$47.52 – $52.285 plans——
Highline Medical CenterBurienFile dated 2026-02-28$53.84 – $61.9211 plans$11,021 – $27,558$36,092 – $90,250
Island HospitalAnacortes$55.52 – $58.8511 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$47.04 – $56.447 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$48.45 – $52.686 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$46.09 – $50.707 plans$98.69$247
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$46.09 – $50.707 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$46.09 – $50.707 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$46.09 – $50.707 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$47.48 – $50.707 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$58.30 – $74.955 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$47.04 – $48.923 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$47.04 – $56.447 plans$1,302 – $5,208$1,860 – $7,440
Providence Centralia HospitalCentraliaFile dated 2026-04-01$47.04 – $75.266 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$47.04 – $51.745 plans$1,302 – $5,208$1,860 – $7,440
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,302 – $5,208$1,860 – $7,440
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$47.04 – $51.746 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$47.04 – $51.745 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$47.04 – $75.266 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$54.83 – $63.0512 plans$10,977 – $27,449$36,092 – $90,250
St Clare HospitalLakewoodFile dated 2026-02-28$54.47 – $62.6412 plans$10,403 – $26,014$36,092 – $90,250
St Elizabeth HospitalEnumclawFile dated 2026-02-28$6,497 – $19,85512 plans$12,754 – $31,891$36,092 – $90,250
St Francis Community HospitalFederal WayFile dated 2026-02-28$53.84 – $61.9212 plans$11,327 – $28,322$36,092 – $90,250
St Joseph Medical CenterTacomaFile dated 2026-02-28$51.46 – $63.0512 plans$11,954 – $29,890$36,092 – $90,250
St Michael Medical CenterSilverdaleFile dated 2026-02-28$56.38 – $60.8910 plans$15,929 – $39,831$36,092 – $90,250
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$47.04 – $56.447 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$47.04 – $56.447 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$47.04 – $56.447 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$47.04 – $56.447 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$46.09 – $50.707 plans$78.05 – $92.05$195 – $230
University of Washington Medical CtrSeattleFile dated 2026-04-01$47.52 – $52.285 plans——
Virginia Mason Medical CenterSeattle$33.27 – $49.919 plans$80.33 – $92.32$158 – $181
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$46.09 – $51.638 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)
$47.13 (APC 0943)
Surgery center payment (national)
$47.13