HCPCS J7170
Injection, emicizumab-kxwh, 0.5 mg
Current codeInjection - Monoclonal Antibodies34 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 | $47.31 – $310 | — | — |
| Deaconess Medical Center | $72.83 – $223 | — | — |
| Harborview Medical Center | $55.57 – $122 | — | — |
| Island Hospital | $56.46 – $118 | — | — |
| Kadlec Regional Medical Center | $50.65 – $198 | — | — |
| Legacy Salmon Creek Medical Center | $60.86 – $135 | — | — |
| Mary Bridge Children's Hospital | $55.64 – $71,589 | $91.82 – $91.96 | $230 – $230 |
| MultiCare Auburn Medical Center | $63.08 – $231 | — | — |
| MultiCare Covington Medical Center | $63.08 – $231 | — | — |
| MultiCare Good Samaritan Hospital | $72.83 – $231 | — | — |
| MultiCare Valley Hospital | $72.83 – $222 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $46.82 – $295 | — | — |
| PeaceHealth Peace Island Medical Center | — | $24,024 – $47,860 | $36,960 – $73,631 |
| PeaceHealth Southwest Medical Cente | $22.58 – $183 | $24,024 – $47,860 | $36,960 – $73,631 |
| PeaceHealth St John Medical Center | $22.58 – $98.24 | $24,024 – $47,860 | $36,960 – $73,631 |
| PeaceHealth St Joseph Medical Center | $56.46 – $97.76 | $24,024 – $47,860 | $36,960 – $73,631 |
| PeaceHealth United General Medical Center | — | $24,024 – $47,860 | $36,960 – $73,631 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $39.51 – $185 | — | — |
| Providence Centralia Hospital | $52.57 – $333 | — | — |
| Providence Holy Family Hospital | $50.65 – $171 | — | — |
| Providence Regional Medical Center Everett | $43.05 – $129 | — | — |
| Providence St Mary Medical Center | $52.57 – $325 | — | — |
| Providence St Peter Hospital | $47.29 – $182 | — | — |
| Seattle Children's Hospital | $3,213 – $12,226 | $5,950 – $12,735 | $5,950 – $12,735 |
| Swedish Edmonds Hospital | $56.11 – $141 | — | — |
| Swedish Issaquah | $52.57 – $142 | — | — |
| Swedish Medical Center | $52.57 – $199 | — | — |
| Swedish Medical Center / Cherry Hill | $52.57 – $199 | — | — |
| Tacoma General Allenmore Hospital | $63.08 – $231 | — | — |
| University of Washington Medical Ctr | $55.57 – $176 | — | — |
| Virginia Mason Medical Center | $52.82 – $185 | — | — |
| Wellfound Behavioral Health Hospital | $140 | — | — |
| Yakima Valley Memorial | $87.24 – $153 | — | — |
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)
- $58.11 (APC 9257)
- Surgery center payment (national)
- $58.11