HCPCS J2791
Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu
Current codeInjection - Immune Globulin42 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 | $29.93 – $98.01 | $16.40 – $46.12 | $41.00 – $115 |
| Deaconess Medical Center | $15.60 – $59.38 | $16.80 – $32.54 | $42.00 – $81.35 |
| EvergreenHealth Medical Center | $74.55 – $928 | $798 | $998 |
| EvergreenHealth Monroe | $691 – $1,020 | $878 | $1,097 |
| Harborview Medical Center | $5.27 | — | — |
| Highline Medical Center | $25.19 – $325 | $110 | $361 |
| Island Hospital | $4.83 | — | — |
| Kadlec Regional Medical Center | $6.07 – $18.58 | $250 | $357 – $357 |
| Legacy Salmon Creek Medical Center | $7.65 – $11.66 | — | — |
| Mary Bridge Children's Hospital | $26.48 – $210 | $16.40 | $41.00 |
| MultiCare Auburn Medical Center | $29.93 – $40.98 | $16.40 – $22.46 | $41.00 – $56.14 |
| MultiCare Covington Medical Center | $29.93 – $51.59 | $16.40 – $28.28 | $41.00 – $70.68 |
| MultiCare Good Samaritan Hospital | $29.93 – $45.35 | $16.40 – $24.86 | $41.00 – $62.13 |
| MultiCare Valley Hospital | $15.60 – $51.64 | $16.80 – $28.69 | $42.00 – $71.72 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $9.10 – $9.68 | $123 – $130 | $247 – $261 |
| PeaceHealth Peace Island Medical Center | — | $293 – $294 | $451 – $453 |
| PeaceHealth Southwest Medical Cente | $7.48 | $289 – $294 | $445 – $453 |
| PeaceHealth St John Medical Center | $8.40 | $293 – $294 | $451 – $453 |
| PeaceHealth St Joseph Medical Center | $8.36 | $293 – $294 | $451 – $453 |
| PeaceHealth United General Medical Center | — | $293 – $294 | $451 – $453 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5.39 – $10.76 | — | — |
| Providence Centralia Hospital | $13.56 – $31.35 | — | — |
| Providence Holy Family Hospital | $5.39 – $10.76 | — | — |
| Providence Regional Medical Center Everett | $5.39 – $10.76 | $214 – $214 | $411 – $411 |
| Providence St Mary Medical Center | $10.76 – $29.43 | — | — |
| Providence St Peter Hospital | $9.04 – $11.19 | $322 | $619 |
| St Anthony Hospital | $21.03 – $271 | $110 | $361 |
| St Clare Hospital | $21.03 – $271 | $104 | $361 |
| St Elizabeth Hospital | $6.12 – $325 | $128 | $361 |
| St Francis Community Hospital | $21.03 – $271 | $113 | $361 |
| St Joseph Medical Center | $21.03 – $271 | $120 | $361 |
| St Michael Medical Center | $9.52 – $325 | $159 | $361 |
| Swedish Edmonds Hospital | $5.39 – $9.93 | — | — |
| Swedish Issaquah | $5.39 – $9.93 | — | — |
| Swedish Medical Center | $5.39 – $9.04 | — | — |
| Swedish Medical Center / Cherry Hill | $5.39 – $9.04 | — | — |
| Tacoma General Allenmore Hospital | $20.37 – $84.17 | $11.17 – $46.12 | $27.91 – $115 |
| University of Washington Medical Ctr | $5.27 | — | — |
| Virginia Mason Medical Center | $9.50 – $19.03 | $12.13 | $23.79 |
| WhidbeyHealth Medical Center | — | $8.00 | $8.00 |
| Yakima Valley Memorial | $11.25 – $144 | $27.64 – $66.98 | $69.10 – $167 |
Medicare (traditional) reference
CMS publishes no national amount for this code.