HCPCS J7198

Anti-inhibitor, per i.u.

Current codeInjection - Clotting Factors42 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

Prices for HCPCS J7198 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland—$6,025 – $12,043$7,531 – $15,054
Highline Medical CenterBurienFile dated 2026-02-28—$16,352 – $32,704$53,550 – $107,100
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$2,287 – $2,340$3,267 – $3,343
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$2,495 – $2,997$3,564 – $4,281
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$2,495 – $2,997$3,564 – $4,281
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,685$3,835
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$2,833$5,448
Seattle Children's HospitalSeattle—$500 – $10,913$500 – $10,913
St Anthony HospitalGig HarborFile dated 2026-02-28—$16,287 – $32,574$53,550 – $107,100
St Clare HospitalLakewoodFile dated 2026-02-28—$15,435 – $30,871$53,550 – $107,100
St Elizabeth HospitalEnumclawFile dated 2026-02-28$14,994 – $35,5255 plans$18,923 – $37,845$53,550 – $107,100
St Francis Community HospitalFederal WayFile dated 2026-02-28—$16,805 – $33,610$53,550 – $107,100
St Joseph Medical CenterTacomaFile dated 2026-02-28—$17,736 – $35,471$53,550 – $107,100
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$23,634 – $47,268$53,550 – $107,100
Virginia Mason Medical CenterSeattle—$4.79$9.39

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)
$2.47 (APC 0929)
Surgery center payment (national)
$2.47