HCPCS J1595
Injection, glatiramer acetate, 20 mg
Current codeInjection - Immunomodulator32 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 | $150 – $787 | — | — |
| Deaconess Medical Center | $226 – $629 | — | — |
| Harborview Medical Center | $3,312 | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | $156 – $652 | — | — |
| Legacy Salmon Creek Medical Center | $200 – $365 | — | — |
| Mary Bridge Children's Hospital | $186 – $1,108 | — | — |
| MultiCare Auburn Medical Center | $200 – $775 | — | — |
| MultiCare Covington Medical Center | $200 – $775 | — | — |
| MultiCare Good Samaritan Hospital | $226 – $775 | — | — |
| MultiCare Valley Hospital | $226 – $627 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $109 – $1,162 | — | — |
| PeaceHealth Peace Island Medical Center | — | $116 – $531 | $178 – $817 |
| PeaceHealth Southwest Medical Cente | $172 | $116 – $531 | $178 – $817 |
| PeaceHealth St John Medical Center | — | $116 – $531 | $178 – $817 |
| PeaceHealth St Joseph Medical Center | — | $116 – $531 | $178 – $817 |
| PeaceHealth United General Medical Center | — | $116 – $531 | $178 – $817 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $63.25 – $362 | $435 – $621 | $621 – $887 |
| Providence Centralia Hospital | $148 – $652 | — | — |
| Providence Holy Family Hospital | $63.25 – $251 | $435 – $621 | $621 – $887 |
| Providence Regional Medical Center Everett | $63.25 – $370 | $145 | $278 |
| Providence St Mary Medical Center | $117 – $312 | — | — |
| Providence St Peter Hospital | $122 – $488 | — | — |
| Swedish Edmonds Hospital | $63.25 – $360 | — | — |
| Swedish Issaquah | $63.25 – $457 | — | — |
| Swedish Medical Center | $63.25 – $457 | — | — |
| Swedish Medical Center / Cherry Hill | $63.25 – $357 | — | — |
| Tacoma General Allenmore Hospital | $200 – $653 | — | — |
| University of Washington Medical Ctr | $200 – $3,312 | — | — |
| Virginia Mason Medical Center | $166 – $609 | $141 | $276 |
| Yakima Valley Memorial | $289 – $582 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.