HCPCS J2505
Injection, pegfilgrastim, 6 mg
Retired codeInjection - Colony Stimulating Factors26 hospitals with prices
This code is retired. Some hospitals still list it.
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 | $10,894 – $17,858 | — | — |
| Cascade Medical Center | $3,875 – $6,457 | $8,239 | $10,299 |
| Harborview Medical Center | $6,089 | — | — |
| Kadlec Regional Medical Center | $8,072 | — | — |
| Legacy Salmon Creek Medical Center | $4,855 – $5,711 | — | — |
| MultiCare Auburn Medical Center | $9,314 – $17,573 | — | — |
| MultiCare Covington Medical Center | $9,314 – $17,573 | — | — |
| MultiCare Good Samaritan Hospital | $9,314 – $17,573 | — | — |
| Overlake Hospital Medical Center & Clinics | $8,786 – $26,359 | — | — |
| PeaceHealth Peace Island Medical Center | — | $6,321 | $9,724 |
| PeaceHealth Southwest Medical Cente | — | $6,321 | $9,724 |
| PeaceHealth St John Medical Center | — | $6,321 | $9,724 |
| PeaceHealth St Joseph Medical Center | — | $6,321 | $9,724 |
| PeaceHealth United General Medical Center | — | $6,321 | $9,724 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $8,215 | — | — |
| Providence Centralia Hospital | $10,322 | — | — |
| Providence Regional Medical Center Everett | $8,393 | — | — |
| Providence St Peter Hospital | $11,072 | — | — |
| Swedish Edmonds Hospital | $7,679 – $8,179 | — | — |
| Swedish Issaquah | $9,858 – $10,358 | — | — |
| Swedish Medical Center | $9,858 – $10,358 | — | — |
| Swedish Medical Center / Cherry Hill | $7,143 – $7,679 | — | — |
| Tacoma General Allenmore Hospital | $9,314 – $13,004 | — | — |
| University of Washington Medical Ctr | $6,089 – $7,024 | — | — |
| Virginia Mason Medical Center | $11,927 | — | — |
| Yakima Valley Memorial | $8,061 – $13,215 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.