HCPCS J7177

Injection, human fibrinogen concentrate (fibryga), 1 mg

Current codeInjection - Clotting Factors28 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J7177 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.21 – $1.336 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.21 – $1.338 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1.23 – $1.355 plans——
Island HospitalAnacortes$1.44 – $1.5311 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.24 – $1.487 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1.27 – $1.396 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.21 – $1.337 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.21 – $1.337 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1.21 – $1.337 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.21 – $1.337 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1.25 – $1.337 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1.51 – $1.945 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1.24 – $1.293 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1.24 – $1.487 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.24 – $1.986 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1.24 – $1.365 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1.24 – $1.366 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1.24 – $1.365 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1.24 – $1.986 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1.24 – $1.487 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1.24 – $1.487 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1.24 – $1.487 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1.24 – $1.487 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.21 – $1.337 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1.23 – $1.355 plans——
Virginia Mason Medical CenterSeattle$1.05 – $1.298 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.21 – $1.368 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$1.22 (APC 9046)
Surgery center payment (national)
$1.22