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

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

Prices for HCPCS J1569 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$48.10 – $52.916 plans$68.53 – $82.54$171 – $206
Cascade Valley HospitalArlington$46.46 – $48.783 plans$1,774 – $29,855$2,217 – $37,319
Deaconess Medical CenterSpokaneFile dated 2026-08-27$48.10 – $52.918 plans$57.71 – $160$144 – $399
Harborview Medical CenterSeattleFile dated 2026-04-01$45.31 – $49.855 plans——
Island HospitalAnacortes$52.93 – $56.1111 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$49.08 – $58.907 plans$938 – $3,752$1,340 – $5,359
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$50.55 – $54.976 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$48.10 – $52.917 plans$84.83 – $134$212 – $334
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$48.10 – $52.917 plans$68.53 – $104$171 – $259
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$48.10 – $52.917 plans$68.54 – $73.20$171 – $183
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$48.10 – $52.917 plans$68.53 – $82.54$171 – $206
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$49.54 – $52.917 plans$92.34 – $113$231 – $281
Olympic Medical CenterPort AngelesFile dated 2026-06-24$55.58 – $71.465 plans$2,113 – $5,473$2,641 – $6,841
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$49.08 – $51.043 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$461 – $4,801$710 – $7,386
PeaceHealth Southwest Medical CenteVancouver$47.29 – $54.3813 plans$4,801 – $7,955$7,386 – $12,238
PeaceHealth St John Medical CenterLongview$36.89 – $52.0214 plans$4,801$7,386
PeaceHealth St Joseph Medical CenterBellingham$47.29 – $52.028 plans$4,801 – $4,848$7,386 – $7,458
PeaceHealth United General Medical CenterSedro Woolley—$4,801$7,386
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$49.08 – $58.907 plans$1,023 – $6,143$1,462 – $8,776
Providence Centralia HospitalCentraliaFile dated 2026-04-01$49.08 – $78.536 plans$347 – $6,652$668 – $12,793
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$49.08 – $53.995 plans$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$49.08 – $53.996 plans$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$49.08 – $53.995 plans$2,189 – $6,610$3,128 – $9,443
Providence St Peter HospitalOlympiaFile dated 2026-04-01$49.08 – $78.536 plans$347 – $6,652$668 – $12,793
Seattle Children's HospitalSeattle—$13,161$13,161
Skagit Valley HospitalMount Vernon$46.46 – $50.184 plans$1,774 – $29,855$2,217 – $37,319
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$49.08 – $58.907 plans$996 – $5,978$2,074 – $12,454
Swedish IssaquahIssaquahFile dated 2026-04-01$49.08 – $58.907 plans$996 – $5,978$2,074 – $12,454
Swedish Medical CenterSeattleFile dated 2026-04-01$49.08 – $58.907 plans$199 – $5,978$415 – $12,454
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$49.08 – $58.907 plans$996 – $5,974$2,074 – $12,446
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$48.10 – $52.917 plans$68.53 – $82.54$171 – $206
University of Washington Medical CtrSeattleFile dated 2026-04-01$45.31 – $49.855 plans——
Virginia Mason Medical CenterSeattle$31.72 – $47.589 plans$73.71 – $86.45$145 – $170
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$48.10 – $53.878 plans$68.54 – $106$171 – $264

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)
$49.50 (APC 0944)
Surgery center payment (national)
$49.50