HCPCS J1628

Injection, guselkumab, 1 mg

Current codeInjection - Monoclonal Antibodies41 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J1628 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28$18,606 – $77,8866 plans$13,213 – $26,425$43,270 – $86,540
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$41,373$59,104
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$41,373$59,104
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$190$364
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$44,517$63,595
Seattle Children's HospitalSeattle$27,552 – $63,04798 plans$51,023 – $65,674$51,023 – $65,674
St Anthony HospitalGig HarborFile dated 2026-02-28$23,799 – $64,9054 plans$13,161 – $26,321$43,270 – $86,540
St Clare HospitalLakewoodFile dated 2026-02-28$23,799 – $64,9054 plans$12,472 – $24,944$43,270 – $86,540
St Elizabeth HospitalEnumclawFile dated 2026-02-28$15,577 – $77,8869 plans$15,290 – $30,580$43,270 – $86,540
St Francis Community HospitalFederal WayFile dated 2026-02-28$23,799 – $64,9054 plans$13,579 – $27,158$43,270 – $86,540
St Joseph Medical CenterTacomaFile dated 2026-02-28$23,799 – $64,9054 plans$14,331 – $28,662$43,270 – $86,540
St Michael Medical CenterSilverdaleFile dated 2026-02-28$27,260 – $77,88610 plans$19,097 – $38,194$43,270 – $86,540
Virginia Mason Medical CenterSeattle$187 – $2334 plans$149$291

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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

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)
$67.00 (APC 9029)
Surgery center payment (national)
$67.00