Every billing code / HCPCS J7504 / Prov Sacred HRT Med Ctr & Childs Hosp.
HCPCS J7504 at Prov Sacred HRT Med Ctr & Childs Hosp.
Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg
Prov Sacred HRT Med Ctr & Childs Hosp., Spokane
Description from CMS's HCPCS Level II code file.
What Prov Sacred HRT Med Ctr & Childs Hosp. publishes for this code: as an outpatient
Prov Sacred HRT Med Ctr & Childs Hosp.’s prices for HCPCS J7504, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|
| Commercial insuranceInsurer rates | $2,801 – $17,55814 plans | — |
|---|
| Medicare AdvantageInsurer rates | $5,292 – $6,3517 plans | — |
|---|
| Cash pricePaying yourself, without insurance | $13,249 – $13,254 | — |
|---|
| List priceBefore any discount; few people pay it | $18,928 – $18,934 | — |
|---|
Lowest and highest amounts Prov Sacred HRT Med Ctr & Childs Hosp. lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-04-01. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for HCPCS J7504 at Prov Sacred HRT Med Ctr & Childs Hosp.| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|
| Hospital's feeThe hospital | The drug, per billing unit | — | The price above |
|---|
Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.
Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare HCPCS J7504 at every Washington hospital, with Medicare’s reference amounts.