HCPCS J7170
Injection, emicizumab-kxwh, 0.5 mg
Current codeInjection - Monoclonal Antibodies34 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | — | — |
| Island Hospital | $65.53 – $68.98 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $91.82 – $91.96 | $230 – $230 |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $24,024 – $47,860 | $36,960 – $73,631 |
| PeaceHealth Southwest Medical Cente | — | $24,024 – $47,860 | $36,960 – $73,631 |
| PeaceHealth St John Medical Center | — | $24,024 – $47,860 | $36,960 – $73,631 |
| PeaceHealth St Joseph Medical Center | — | $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. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $2,439 – $5,221 | $5,950 – $12,735 | $5,950 – $12,735 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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