HCPCS J2788

Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)

Current codeInjection - Immune Globulin32 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Unknown: The source file doesn't say which population this rate applies to.

Prices for HCPCS J2788 by hospital
HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$51.20$128
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$46.80$117
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$51.20$128
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$51.20$128
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$51.20$128
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$51.20$128
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$46.80$117
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$256 – $268$365 – $383
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$150 – $154$289 – $296
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$256 – $268$365 – $383
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$171 – $252$244 – $360
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$150 – $154$289 – $296
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$63.80 – $66.99$133 – $140
Swedish IssaquahIssaquahFile dated 2026-04-01—$63.80 – $66.99$133 – $140
Swedish Medical CenterSeattleFile dated 2026-04-01—$63.80 – $94.04$133 – $196
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$63.80 – $94.04$133 – $196
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$51.20$128
Virginia Mason Medical CenterSeattle—$50.62 – $373$99.25 – $731

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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

CMS publishes no national amount for this code.