HCPCS J2792

Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu

Current codeInjection - Immune Globulin31 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS J2792 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	—	$303 – $1,064	$379 – $1,330
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$18.20	$28.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$386 – $7,374	$772 – $14,748
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$689 – $3,228	$1,325 – $6,208
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$4,035	$5,764
Seattle Children's HospitalSeattle	$2001 plan	$795	$795
Skagit Valley HospitalMount Vernon	—	$303 – $1,064	$379 – $1,330
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$3,943	$8,214
Virginia Mason Medical CenterSeattle	—	$35.88	$70.36

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national): $35.40 (APC 1609)
Surgery center payment (national): $35.40