HCPCS J2781
Injection, pegcetacoplan, intravitreal, 1 mg
Current code28 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $145 – $159 | — | — |
| Deaconess Medical Center | $145 – $159 | — | — |
| Harborview Medical Center | $139 – $153 | — | — |
| Island Hospital | $163 – $172 | — | — |
| Kadlec Regional Medical Center | $148 – $177 | — | — |
| Legacy Salmon Creek Medical Center | $152 – $166 | — | — |
| Mary Bridge Children's Hospital | $145 – $159 | — | — |
| MultiCare Auburn Medical Center | $145 – $159 | — | — |
| MultiCare Covington Medical Center | $145 – $159 | — | — |
| MultiCare Good Samaritan Hospital | $145 – $159 | — | — |
| MultiCare Valley Hospital | $149 – $159 | — | — |
| Olympic Medical Center | $171 – $219 | — | — |
| Overlake Hospital Medical Center & Clinics | $148 – $154 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $148 – $177 | — | — |
| Providence Centralia Hospital | $148 – $236 | — | — |
| Providence Holy Family Hospital | $148 – $163 | — | — |
| Providence Regional Medical Center Everett | $148 – $163 | — | — |
| Providence St Mary Medical Center | $148 – $163 | — | — |
| Providence St Peter Hospital | $148 – $236 | — | — |
| Swedish Edmonds Hospital | $148 – $177 | $13,048 | $27,182 |
| Swedish Issaquah | $148 – $177 | $13,048 | $27,182 |
| Swedish Medical Center | $148 – $177 | $13,048 | $27,182 |
| Swedish Medical Center / Cherry Hill | $148 – $177 | $13,048 | $27,182 |
| Tacoma General Allenmore Hospital | $145 – $159 | — | — |
| University of Washington Medical Ctr | $139 – $153 | — | — |
| Virginia Mason Medical Center | $97.43 – $146 | $313 | $613 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $145 – $162 | — | — |
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