HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Current code36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS J1570 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland—$287 – $483$359 – $604
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$1.18 – $1,343$3.85 – $4,397
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$181$259
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$32.59$50.14
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$53.34 – $102$133 – $255
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$140$176
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$9.75 – $84.32$19.50 – $169
PeaceHealth Peace Island Medical CenterFriday Harbor—$220 – $267$339 – $411
PeaceHealth Southwest Medical CenteVancouver—$220 – $267$339 – $411
PeaceHealth St John Medical CenterLongview—$220 – $267$339 – $411
PeaceHealth St Joseph Medical CenterBellingham—$220 – $267$339 – $411
PeaceHealth United General Medical CenterSedro Woolley—$220 – $267$339 – $411
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$322 – $492$460 – $703
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$214$412
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$322 – $492$460 – $703
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$492$703
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$132$255
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$150 – $195$289 – $376
Seattle Children's HospitalSeattle$2041 plan$809$809
St Anthony HospitalGig HarborFile dated 2026-02-28—$1.18 – $1,337$3.85 – $4,397
St Clare HospitalLakewoodFile dated 2026-02-28—$1.11 – $1,267$3.85 – $4,397
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$1.37 – $1,554$3.85 – $4,397
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1.21 – $1,380$3.85 – $4,397
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1.28 – $1,456$3.85 – $4,397
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1.70 – $1,941$3.85 – $4,397
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$106 – $187$220 – $390
Swedish IssaquahIssaquahFile dated 2026-04-01—$123 – $187$256 – $390
Swedish Medical CenterSeattleFile dated 2026-04-01—$63.71 – $187$133 – $390
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$123 – $187$256 – $390
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$45.86 – $69.64$115 – $174
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$80.77 – $169$158 – $331
Yakima Valley MemorialYakimaFile dated 2026-08-27———

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.