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HCPCS J1569

Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mg

Current codeInjection - Immune Globulin38 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$137 – $1752 plans$68.53 – $82.54$171 – $206
Cascade Valley HospitalArlington$43.22 – $33,58711 plans$1,774 – $29,855$2,217 – $37,319
Deaconess Medical CenterSpokaneFile dated 2026-08-27$102 – $2912 plans$57.71 – $160$144 – $399
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$938 – $3,752$1,340 – $5,359
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$139 – $2676 plans$84.83 – $134$212 – $334
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$101 – $1893 plans$68.53 – $104$171 – $259
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$101 – $1343 plans$68.54 – $73.20$171 – $183
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$101 – $1513 plans$68.53 – $82.54$171 – $206
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$166 – $2032 plans$92.34 – $113$231 – $281
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,476 – $6,8416 plans$2,113 – $5,473$2,641 – $6,841
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,023 – $6,143$1,462 – $8,776
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$347 – $6,652$668 – $12,793
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,023 – $6,143$1,462 – $8,776
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,023 – $6,139$1,462 – $8,770
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$972$1,868
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,023 – $6,139$1,462 – $8,770
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,189 – $6,610$3,128 – $9,443
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$347 – $6,652$668 – $12,793
Seattle Children's HospitalSeattle$7,107 – $12,63498 plans$13,161$13,161
Skagit Valley HospitalMount Vernon$44.15 – $35,45310 plans$1,774 – $29,855$2,217 – $37,319
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$996 – $5,978$2,074 – $12,454
Swedish IssaquahIssaquahFile dated 2026-04-01—$996 – $5,978$2,074 – $12,454
Swedish Medical CenterSeattleFile dated 2026-04-01—$199 – $5,978$415 – $12,454
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$996 – $5,974$2,074 – $12,446
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$101 – $1513 plans$68.53 – $82.54$171 – $206
Virginia Mason Medical CenterSeattle$92.57 – $1364 plans$73.71 – $86.45$145 – $170
Yakima Valley MemorialYakimaFile dated 2026-08-27$95.94 – $1481 plan$68.54 – $106$171 – $264

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)
$49.50 (APC 0944)
Surgery center payment (national)
$49.50