HCPCS J1572
Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
Current codeInjection - Immune Globulin33 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $50.51 – $202 | — | — |
| Deaconess Medical Center | $62.36 – $199 | — | — |
| Harborview Medical Center | $73.14 | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | $56.12 – $255 | $2,312 – $4,624 | $3,303 – $6,606 |
| Legacy Salmon Creek Medical Center | $47.74 – $181 | — | — |
| Mary Bridge Children's Hospital | $55.56 – $4,164 | — | — |
| MultiCare Auburn Medical Center | $54.02 – $206 | — | — |
| MultiCare Covington Medical Center | $54.02 – $206 | — | — |
| MultiCare Good Samaritan Hospital | $62.36 – $206 | — | — |
| MultiCare Valley Hospital | $61.73 – $198 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $40.09 – $298 | — | — |
| PeaceHealth Peace Island Medical Center | — | $855 – $2,860 | $1,316 – $4,400 |
| PeaceHealth Southwest Medical Cente | $36.30 – $294 | $855 – $2,860 | $1,316 – $4,400 |
| PeaceHealth St John Medical Center | $36.30 – $90.74 | $855 – $2,860 | $1,316 – $4,400 |
| PeaceHealth St Joseph Medical Center | $90.74 | $855 – $2,860 | $1,316 – $4,400 |
| PeaceHealth United General Medical Center | — | $855 – $2,860 | $1,316 – $4,400 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $43.77 – $301 | — | — |
| Providence Centralia Hospital | $56.12 – $339 | $1,541 – $5,502 | $2,964 – $10,580 |
| Providence Holy Family Hospital | $56.12 – $333 | — | — |
| Providence Regional Medical Center Everett | $47.70 – $281 | $1,175 | $2,259 |
| Providence St Mary Medical Center | $56.12 – $267 | — | — |
| Providence St Peter Hospital | $56.12 – $355 | $1,541 | $2,964 |
| Swedish Edmonds Hospital | $61.73 – $327 | — | — |
| Swedish Issaquah | $61.73 – $385 | — | — |
| Swedish Medical Center | $56.12 – $385 | — | — |
| Swedish Medical Center / Cherry Hill | $56.12 – $385 | — | — |
| Tacoma General Allenmore Hospital | $54.02 – $206 | — | — |
| University of Washington Medical Ctr | $59.02 – $89.79 | — | — |
| Virginia Mason Medical Center | $55.76 – $158 | $62.58 – $97.57 | $123 – $191 |
| Wellfound Behavioral Health Hospital | $229 | — | — |
| Yakima Valley Memorial | $91.14 – $152 | — | — |
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)
- $90.74 (APC 0947)
- Surgery center payment (national)
- $90.74