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
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) |
|---|---|---|---|
| Capital Medical Center | — | $16.40 – $46.12 | $41.00 – $115 |
| Deaconess Medical Center | — | $16.80 – $32.54 | $42.00 – $81.35 |
| EvergreenHealth Medical Center | — | $798 | $998 |
| EvergreenHealth Monroe | — | $878 | $1,097 |
| Highline Medical Center | — | $110 | $361 |
| Kadlec Regional Medical Center | — | $250 | $357 – $357 |
| Mary Bridge Children's Hospital | — | $16.40 | $41.00 |
| MultiCare Auburn Medical Center | — | $16.40 – $22.46 | $41.00 – $56.14 |
| MultiCare Covington Medical Center | — | $16.40 – $28.28 | $41.00 – $70.68 |
| MultiCare Good Samaritan Hospital | — | $16.40 – $24.86 | $41.00 – $62.13 |
| MultiCare Valley Hospital | — | $16.80 – $28.69 | $42.00 – $71.72 |
| Overlake Hospital Medical Center & Clinics | — | $123 – $130 | $247 – $261 |
| Providence Regional Medical Center Everett | — | $214 – $214 | $411 – $411 |
| Providence St Peter Hospital | — | $322 | $619 |
| St Anthony Hospital | — | $110 | $361 |
| St Clare Hospital | — | $104 | $361 |
| St Elizabeth Hospital | $101 – $120 | $128 | $361 |
| St Francis Community Hospital | — | $113 | $361 |
| St Joseph Medical Center | — | $120 | $361 |
| St Michael Medical Center | — | $159 | $361 |
| Tacoma General Allenmore Hospital | — | $11.17 – $46.12 | $27.91 – $115 |
| Virginia Mason Medical Center | — | $12.13 | $23.79 |
| Yakima Valley Memorial | — | $27.64 – $66.98 | $69.10 – $167 |
Medicare (traditional) reference
CMS publishes no national amount for this code.