HCPCS J1574
Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg
Current code22 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 | $71.40 – $304 | — | — |
| Deaconess Medical Center | $71.40 – $133 | — | — |
| Kadlec Regional Medical Center | $63.33 – $228 | — | — |
| Legacy Salmon Creek Medical Center | $135 | — | — |
| Mary Bridge Children's Hospital | $394 | — | — |
| MultiCare Auburn Medical Center | $71.40 – $368 | — | — |
| MultiCare Covington Medical Center | $71.40 – $368 | — | — |
| MultiCare Good Samaritan Hospital | $71.40 – $368 | — | — |
| MultiCare Valley Hospital | $71.40 – $133 | — | — |
| Overlake Hospital Medical Center & Clinics | $94.86 – $145 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $55.00 – $102 | — | — |
| Providence Centralia Hospital | $129 – $228 | — | — |
| Providence Holy Family Hospital | $55.00 – $102 | — | — |
| Providence Regional Medical Center Everett | $55.00 – $102 | — | — |
| Providence St Mary Medical Center | $102 | — | — |
| Providence St Peter Hospital | $106 | — | — |
| Swedish Edmonds Hospital | $55.00 | — | — |
| Swedish Issaquah | $55.00 | — | — |
| Swedish Medical Center | $55.00 | — | — |
| Swedish Medical Center / Cherry Hill | $55.00 | — | — |
| Tacoma General Allenmore Hospital | $71.40 – $368 | — | — |
| Virginia Mason Medical Center | $159 – $181 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.