HCPCS J2788
Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)
Current codeInjection - Immune Globulin32 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 | $93.44 – $109 | $51.20 | $128 |
| Deaconess Medical Center | $43.47 – $85.41 | $46.80 | $117 |
| Harborview Medical Center | $27.68 | — | — |
| Island Hospital | $22.93 | — | — |
| Kadlec Regional Medical Center | $30.50 – $93.33 | — | — |
| Legacy Salmon Creek Medical Center | $40.31 – $61.42 | — | — |
| Mary Bridge Children's Hospital | $82.68 – $104 | $51.20 | $128 |
| MultiCare Auburn Medical Center | $93.44 | $51.20 | $128 |
| MultiCare Covington Medical Center | $93.44 | $51.20 | $128 |
| MultiCare Good Samaritan Hospital | $93.44 | $51.20 | $128 |
| MultiCare Valley Hospital | $43.47 – $84.24 | $46.80 | $117 |
| Overlake Hospital Medical Center & Clinics | $45.68 – $48.63 | — | — |
| PeaceHealth Peace Island Medical Center | — | $222 | $342 |
| PeaceHealth Southwest Medical Cente | $35.54 | $222 | $342 |
| PeaceHealth St John Medical Center | $39.90 | $222 | $342 |
| PeaceHealth St Joseph Medical Center | $39.70 | $222 | $342 |
| PeaceHealth United General Medical Center | — | $222 | $342 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $29.61 – $54.02 | $256 – $268 | $365 – $383 |
| Providence Centralia Hospital | $68.07 – $152 | $150 – $154 | $289 – $296 |
| Providence Holy Family Hospital | $29.61 – $54.02 | $256 – $268 | $365 – $383 |
| Providence Regional Medical Center Everett | $29.61 – $54.02 | — | — |
| Providence St Mary Medical Center | $54.02 – $160 | $171 – $252 | $244 – $360 |
| Providence St Peter Hospital | $43.67 – $56.18 | $150 – $154 | $289 – $296 |
| Skagit Valley Hospital | $32.03 – $211 | $178 | $222 |
| Swedish Edmonds Hospital | $29.61 – $55.72 | $63.80 – $66.99 | $133 – $140 |
| Swedish Issaquah | $29.61 – $55.72 | $63.80 – $66.99 | $133 – $140 |
| Swedish Medical Center | $29.61 – $43.67 | $63.80 – $94.04 | $133 – $196 |
| Swedish Medical Center / Cherry Hill | $29.61 – $43.67 | $63.80 – $94.04 | $133 – $196 |
| Tacoma General Allenmore Hospital | $93.44 | $51.20 | $128 |
| University of Washington Medical Ctr | $27.68 | — | — |
| Virginia Mason Medical Center | $49.56 – $585 | $50.62 – $373 | $99.25 – $731 |
| Yakima Valley Memorial | $56.49 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.