HCPCS J2790
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)
Current codeInjection - Immune Globulin46 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) |
|---|---|---|---|
| BHC Fairfax Hospital | $189 – $299 | $326 – $427 | $326 – $427 |
| Capital Medical Center | $169 – $197 | $92.80 | $232 |
| Cascade Valley Hospital | $28.73 – $7,479 | $270 – $336 | $338 – $420 |
| Deaconess Medical Center | $109 – $214 | $117 | $293 |
| Harborview Medical Center | $83.86 | — | — |
| Highline Medical Center | $155 – $399 | $110 | $361 |
| Island Hospital | $80.53 – $295 | $311 | $311 |
| Kadlec Regional Medical Center | $104 – $317 | $239 | $341 |
| Legacy Salmon Creek Medical Center | $130 – $198 | — | — |
| Mary Bridge Children's Hospital | $150 – $210 | $92.80 | $232 |
| MultiCare Auburn Medical Center | $169 | $92.80 | $232 |
| MultiCare Covington Medical Center | $169 | $92.80 | $232 |
| MultiCare Good Samaritan Hospital | $169 | $92.80 | $232 |
| MultiCare Valley Hospital | $109 – $211 | $117 | $293 |
| Olympic Medical Center | $264 – $472 | $377 | $472 |
| Overlake Hospital Medical Center & Clinics | $155 – $165 | — | — |
| PeaceHealth Peace Island Medical Center | — | $220 – $280 | $338 – $431 |
| PeaceHealth Southwest Medical Cente | $125 | $280 | $431 |
| PeaceHealth St John Medical Center | $140 | $280 | $431 |
| PeaceHealth St Joseph Medical Center | $139 | $280 | $431 |
| PeaceHealth United General Medical Center | — | $248 – $280 | $381 – $431 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $90.01 – $183 | $600 – $824 | $857 – $1,177 |
| Providence Centralia Hospital | $231 – $495 | $348 – $354 | $669 – $681 |
| Providence Holy Family Hospital | $90.01 – $183 | $730 – $824 | $1,043 – $1,177 |
| Providence Mount Carmel Hospital | — | $730 – $824 | $1,043 – $1,177 |
| Providence Regional Medical Center Everett | $90.01 – $183 | $66.54 | $128 |
| Providence St Joseph Hospital | — | $134 – $824 | $192 – $1,177 |
| Providence St Mary Medical Center | $183 – $478 | $551 – $601 | $787 – $858 |
| Providence St Peter Hospital | $143 – $191 | $332 – $374 | $638 – $720 |
| Skagit Valley Hospital | $42.14 – $399 | $234 – $336 | $292 – $420 |
| St Anthony Hospital | $180 – $333 | $110 | $361 |
| St Clare Hospital | $180 – $333 | $104 | $361 |
| St Elizabeth Hospital | $102 – $370 | $128 | $361 |
| St Francis Community Hospital | $180 – $333 | $113 | $361 |
| St Joseph Medical Center | $180 – $333 | $120 | $361 |
| St Michael Medical Center | $155 – $325 | $159 | $361 |
| Swedish Edmonds Hospital | $90.01 – $165 | $185 – $224 | $385 – $467 |
| Swedish Issaquah | $90.01 – $165 | $185 | $385 |
| Swedish Medical Center | $90.01 – $143 | $224 – $224 | $467 – $467 |
| Swedish Medical Center / Cherry Hill | $90.01 – $143 | $224 – $224 | $467 – $467 |
| Tacoma General Allenmore Hospital | $169 | $92.80 | $232 |
| University of Washington Medical Ctr | $83.86 | — | — |
| Virginia Mason Medical Center | $161 – $236 | $150 | $295 |
| WhidbeyHealth Medical Center | — | $147 | $147 |
| Yakima Valley Memorial | $192 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.