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 | $62.50 – $92.59 | $16.40 – $46.12 | $41.00 – $115 |
| Deaconess Medical Center | $57.18 – $60.55 | $16.80 – $32.54 | $42.00 – $81.35 |
| EvergreenHealth Medical Center | — | $798 | $998 |
| EvergreenHealth Monroe | — | $878 | $1,097 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $110 | $361 |
| Island Hospital | $59.00 – $64.01 | — | — |
| Kadlec Regional Medical Center | — | $250 | $357 – $357 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $59.15 – $63.88 | $16.40 | $41.00 |
| MultiCare Auburn Medical Center | $58.08 – $62.72 | $16.40 – $22.46 | $41.00 – $56.14 |
| MultiCare Covington Medical Center | $58.08 – $62.72 | $16.40 – $28.28 | $41.00 – $70.68 |
| MultiCare Good Samaritan Hospital | $59.42 – $64.17 | $16.40 – $24.86 | $41.00 – $62.13 |
| MultiCare Valley Hospital | $56.78 – $60.12 | $16.80 – $28.69 | $42.00 – $71.72 |
| Olympic Medical Center | $73.10 – $80.06 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $123 – $130 | $247 – $261 |
| PeaceHealth Peace Island Medical Center | — | $293 – $294 | $451 – $453 |
| PeaceHealth Southwest Medical Cente | — | $289 – $294 | $445 – $453 |
| PeaceHealth St John Medical Center | — | $293 – $294 | $451 – $453 |
| PeaceHealth St Joseph Medical Center | — | $293 – $294 | $451 – $453 |
| PeaceHealth United General Medical Center | — | $293 – $294 | $451 – $453 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | $214 – $214 | $411 – $411 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | $322 | $619 |
| 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 | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $59.44 – $64.20 | $11.17 – $46.12 | $27.91 – $115 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $12.13 | $23.79 |
| WhidbeyHealth Medical Center | — | $8.00 | $8.00 |
| Yakima Valley Memorial | $56.80 – $65.99 | $27.64 – $66.98 | $69.10 – $167 |
Medicare (traditional) reference
CMS publishes no national amount for this code.