HCPCS J1570
Injection, ganciclovir sodium, 500 mg
Current code36 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) |
|---|---|---|---|
| EvergreenHealth Medical Center | — | $287 – $483 | $359 – $604 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $1.18 – $1,343 | $3.85 – $4,397 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $181 | $259 |
| Legacy Salmon Creek Medical Center | — | $32.59 | $50.14 |
| MultiCare Valley Hospital | — | $53.34 – $102 | $133 – $255 |
| Olympic Medical Center | — | $140 | $176 |
| Overlake Hospital Medical Center & Clinics | — | $9.75 – $84.32 | $19.50 – $169 |
| PeaceHealth Peace Island Medical Center | — | $220 – $267 | $339 – $411 |
| PeaceHealth Southwest Medical Cente | — | $220 – $267 | $339 – $411 |
| PeaceHealth St John Medical Center | — | $220 – $267 | $339 – $411 |
| PeaceHealth St Joseph Medical Center | — | $220 – $267 | $339 – $411 |
| PeaceHealth United General Medical Center | — | $220 – $267 | $339 – $411 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $322 – $492 | $460 – $703 |
| Providence Centralia Hospital | — | $214 | $412 |
| Providence Holy Family Hospital | — | $322 – $492 | $460 – $703 |
| Providence Mount Carmel Hospital | — | $492 | $703 |
| Providence Regional Medical Center Everett | — | $132 | $255 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | $150 – $195 | $289 – $376 |
| Seattle Children's Hospital | — | $809 | $809 |
| St Anthony Hospital | — | $1.18 – $1,337 | $3.85 – $4,397 |
| St Clare Hospital | — | $1.11 – $1,267 | $3.85 – $4,397 |
| St Elizabeth Hospital | $16.50 – $967 | $1.37 – $1,554 | $3.85 – $4,397 |
| St Francis Community Hospital | — | $1.21 – $1,380 | $3.85 – $4,397 |
| St Joseph Medical Center | — | $1.28 – $1,456 | $3.85 – $4,397 |
| St Michael Medical Center | — | $1.70 – $1,941 | $3.85 – $4,397 |
| Swedish Edmonds Hospital | — | $106 – $187 | $220 – $390 |
| Swedish Issaquah | — | $123 – $187 | $256 – $390 |
| Swedish Medical Center | — | $63.71 – $187 | $133 – $390 |
| Swedish Medical Center / Cherry Hill | — | $123 – $187 | $256 – $390 |
| Tacoma General Allenmore Hospital | — | $45.86 – $69.64 | $115 – $174 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $80.77 – $169 | $158 – $331 |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.