HCPCS J7204
Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu
Current codeInjection - Clotting Factors28 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2.18 – $2.40 | — | — |
| Deaconess Medical Center | $2.18 – $2.40 | — | — |
| Harborview Medical Center | $2.22 – $2.45 | — | — |
| Island Hospital | $2.59 – $2.75 | — | — |
| Kadlec Regional Medical Center | $2.22 – $2.67 | — | — |
| Legacy Salmon Creek Medical Center | $2.29 – $2.49 | — | — |
| Mary Bridge Children's Hospital | $2.18 – $2.40 | — | — |
| MultiCare Auburn Medical Center | $2.18 – $2.40 | — | — |
| MultiCare Covington Medical Center | $2.18 – $2.40 | — | — |
| MultiCare Good Samaritan Hospital | $2.18 – $2.40 | — | — |
| MultiCare Valley Hospital | $2.25 – $2.40 | — | — |
| Olympic Medical Center | $2.72 – $3.50 | — | — |
| Overlake Hospital Medical Center & Clinics | $2.22 – $2.31 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2.22 – $2.67 | — | — |
| Providence Centralia Hospital | $2.22 – $3.56 | — | — |
| Providence Holy Family Hospital | $2.22 – $2.45 | — | — |
| Providence Regional Medical Center Everett | $2.22 – $2.45 | — | — |
| Providence St Mary Medical Center | $2.22 – $2.45 | — | — |
| Providence St Peter Hospital | $2.22 – $3.56 | — | — |
| Swedish Edmonds Hospital | $2.22 – $2.67 | — | — |
| Swedish Issaquah | $2.22 – $2.67 | — | — |
| Swedish Medical Center | $2.22 – $2.67 | — | — |
| Swedish Medical Center / Cherry Hill | $2.22 – $2.67 | — | — |
| Tacoma General Allenmore Hospital | $2.18 – $2.40 | — | — |
| University of Washington Medical Ctr | $2.22 – $2.45 | — | — |
| Virginia Mason Medical Center | $1.55 – $2.33 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2.18 – $2.44 | — | — |
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)
- $2.36 (APC 9354)
- Surgery center payment (national)
- $2.36