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
Unknown: The source file doesn't say which population this rate applies to.
| Hospital | Unknown rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $51.20 | $128 |
| Deaconess Medical Center | — | $46.80 | $117 |
| Harborview Medical Center | — | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $51.20 | $128 |
| MultiCare Auburn Medical Center | — | $51.20 | $128 |
| MultiCare Covington Medical Center | — | $51.20 | $128 |
| MultiCare Good Samaritan Hospital | — | $51.20 | $128 |
| MultiCare Valley Hospital | — | $46.80 | $117 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $222 | $342 |
| PeaceHealth Southwest Medical Cente | $33.71 | $222 | $342 |
| PeaceHealth St John Medical Center | — | $222 | $342 |
| PeaceHealth St Joseph Medical Center | — | $222 | $342 |
| PeaceHealth United General Medical Center | — | $222 | $342 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $256 – $268 | $365 – $383 |
| Providence Centralia Hospital | — | $150 – $154 | $289 – $296 |
| Providence Holy Family Hospital | — | $256 – $268 | $365 – $383 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $171 – $252 | $244 – $360 |
| Providence St Peter Hospital | — | $150 – $154 | $289 – $296 |
| Skagit Valley Hospital | — | $178 | $222 |
| Swedish Edmonds Hospital | — | $63.80 – $66.99 | $133 – $140 |
| Swedish Issaquah | — | $63.80 – $66.99 | $133 – $140 |
| Swedish Medical Center | — | $63.80 – $94.04 | $133 – $196 |
| Swedish Medical Center / Cherry Hill | — | $63.80 – $94.04 | $133 – $196 |
| Tacoma General Allenmore Hospital | — | $51.20 | $128 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $50.62 – $373 | $99.25 – $731 |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.