HCPCS J1961

Injection, lenacapavir (only for use as hiv treatment), 1 mg

Current code28 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 J1961 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$19.73 – $13113 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$27.26 – $96.659 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$23.48 – $48.114 plans——
Island HospitalAnacortes$22.30 – $46.576 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$21.93 – $83.529 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$27.64 – $53.168 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$34.67 – $14,8739 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$26.30 – $10014 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$26.30 – $10014 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$30.77 – $1009 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$30.77 – $96.4310 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$19.78 – $64.4811 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$17.11 – $73.9713 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$21.92 – $14112 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$21.93 – $68.6311 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$18.64 – $51.7311 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$21.92 – $13610 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$18.95 – $72.8013 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$23.14 – $56.6412 plans$30,175$62,864
Swedish IssaquahIssaquahFile dated 2026-04-01$21.92 – $49.5011 plans$30,175$62,864
Swedish Medical CenterSeattleFile dated 2026-04-01$21.92 – $79.6418 plans$30,175$62,864
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$21.92 – $79.6412 plans$30,175$62,864
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$26.30 – $10014 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$23.48 – $69.4712 plans——
Virginia Mason Medical CenterSeattle$21.99 – $77.977 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$56.271 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$34.96 – $54.8011 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$22.94 (APC 9155)
Surgery center payment (national)
$22.94