HCPCS J2781
Injection, pegcetacoplan, intravitreal, 1 mg
Current code28 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 | $134 – $872 | — | — |
| Deaconess Medical Center | $182 – $685 | — | — |
| Harborview Medical Center | $148 – $302 | — | — |
| Island Hospital | $138 – $293 | — | — |
| Kadlec Regional Medical Center | $151 – $556 | — | — |
| Legacy Salmon Creek Medical Center | $196 – $334 | — | — |
| Mary Bridge Children's Hospital | $241 – $4,164 | — | — |
| MultiCare Auburn Medical Center | $179 – $711 | — | — |
| MultiCare Covington Medical Center | $179 – $711 | — | — |
| MultiCare Good Samaritan Hospital | $205 – $711 | — | — |
| MultiCare Valley Hospital | $205 – $683 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $132 – $438 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $118 – $490 | — | — |
| Providence Centralia Hospital | $149 – $924 | — | — |
| Providence Holy Family Hospital | $151 – $455 | — | — |
| Providence Regional Medical Center Everett | $129 – $343 | — | — |
| Providence St Mary Medical Center | $149 – $922 | — | — |
| Providence St Peter Hospital | $126 – $483 | — | — |
| Swedish Edmonds Hospital | $179 – $375 | $13,048 | $27,182 |
| Swedish Issaquah | $149 – $328 | $13,048 | $27,182 |
| Swedish Medical Center | $149 – $528 | $13,048 | $27,182 |
| Swedish Medical Center / Cherry Hill | $149 – $528 | $13,048 | $27,182 |
| Tacoma General Allenmore Hospital | $179 – $711 | — | — |
| University of Washington Medical Ctr | $148 – $436 | — | — |
| Virginia Mason Medical Center | $139 – $519 | $313 | $613 |
| Wellfound Behavioral Health Hospital | $373 | — | — |
| Yakima Valley Memorial | $232 – $373 | — | — |
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)
- $135 (APC 9158)
- Surgery center payment (national)
- $135