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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $326 – $427 | $326 – $427 |
| Capital Medical Center | $62.50 – $92.59 | $92.80 | $232 |
| Cascade Valley Hospital | $61.90 – $420 | $270 – $336 | $338 – $420 |
| Deaconess Medical Center | $57.18 – $60.55 | $117 | $293 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $110 | $361 |
| Island Hospital | $59.00 – $64.01 | $311 | $311 |
| Kadlec Regional Medical Center | — | $239 | $341 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $59.15 – $63.88 | $92.80 | $232 |
| MultiCare Auburn Medical Center | $58.08 – $62.72 | $92.80 | $232 |
| MultiCare Covington Medical Center | $58.08 – $62.72 | $92.80 | $232 |
| MultiCare Good Samaritan Hospital | $59.42 – $64.17 | $92.80 | $232 |
| MultiCare Valley Hospital | $56.78 – $60.12 | $117 | $293 |
| Olympic Medical Center | $73.10 – $80.06 | $377 | $472 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $220 – $280 | $338 – $431 |
| PeaceHealth Southwest Medical Cente | — | $280 | $431 |
| PeaceHealth St John Medical Center | — | $280 | $431 |
| PeaceHealth St Joseph Medical Center | — | $280 | $431 |
| PeaceHealth United General Medical Center | — | $248 – $280 | $381 – $431 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $600 – $824 | $857 – $1,177 |
| Providence Centralia Hospital | — | $348 – $354 | $669 – $681 |
| Providence Holy Family Hospital | — | $730 – $824 | $1,043 – $1,177 |
| Providence Mount Carmel Hospital | — | $730 – $824 | $1,043 – $1,177 |
| Providence Regional Medical Center Everett | — | $66.54 | $128 |
| Providence St Joseph Hospital | — | $134 – $824 | $192 – $1,177 |
| Providence St Mary Medical Center | — | $551 – $601 | $787 – $858 |
| Providence St Peter Hospital | — | $332 – $374 | $638 – $720 |
| Skagit Valley Hospital | $57.31 – $390 | $234 – $336 | $292 – $420 |
| St Anthony Hospital | — | $110 | $361 |
| St Clare Hospital | — | $104 | $361 |
| St Elizabeth Hospital | $61.35 – $74.71 | $128 | $361 |
| St Francis Community Hospital | — | $113 | $361 |
| St Joseph Medical Center | — | $120 | $361 |
| St Michael Medical Center | — | $159 | $361 |
| Swedish Edmonds Hospital | — | $185 – $224 | $385 – $467 |
| Swedish Issaquah | — | $185 | $385 |
| Swedish Medical Center | — | $224 – $224 | $467 – $467 |
| Swedish Medical Center / Cherry Hill | — | $224 – $224 | $467 – $467 |
| Tacoma General Allenmore Hospital | $59.44 – $64.20 | $92.80 | $232 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $150 | $295 |
| WhidbeyHealth Medical Center | — | $147 | $147 |
| Yakima Valley Memorial | $56.80 – $65.99 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.