HCPCS J2425

Injection, palifermin, 50 micrograms

Current codeInjection - Growth/Hormone Factor29 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J2425 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,240 – $1,8365 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,134 – $1,2015 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01———
Island HospitalAnacortes$1,170 – $1,2703 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,173 – $1,2675 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,152 – $1,2445 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,152 – $1,2445 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,178 – $1,2735 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,126 – $1,1925 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,450 – $1,5885 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Seattle Children's HospitalSeattle$6,420 – $8,11912 plans$24,977$24,977
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Swedish Medical CenterSeattleFile dated 2026-04-01———
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,179 – $1,2735 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,127 – $1,3095 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)
$38.84 (APC 1696)
Surgery center payment (national)
$38.84