CareNavIQ

Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

HCPCS J7504

Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg

Current codeInjection - Immune Globulin36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28$169 – $201,9926 plans$120 – $68,533$393 – $224,436
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$10,327 – $10,330$14,752 – $14,757
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$13,249 – $13,254$18,928 – $18,934
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$13,249 – $13,254$18,928 – $18,934
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$14,256 – $14,261$20,366 – $20,373
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$14,091 – $14,095$27,098 – $27,107
Seattle Children's HospitalSeattle$21,558 – $38,32698 plans$39,923$39,923
St Anthony HospitalGig HarborFile dated 2026-02-28$216 – $168,3274 plans$120 – $68,262$393 – $224,436
St Clare HospitalLakewoodFile dated 2026-02-28$216 – $168,3274 plans$113 – $64,692$393 – $224,436
St Elizabeth HospitalEnumclawFile dated 2026-02-28$141 – $201,9929 plans$139 – $79,308$393 – $224,436
St Francis Community HospitalFederal WayFile dated 2026-02-28$216 – $168,3274 plans$123 – $70,433$393 – $224,436
St Joseph Medical CenterTacomaFile dated 2026-02-28$216 – $168,3274 plans$130 – $74,333$393 – $224,436
St Michael Medical CenterSilverdaleFile dated 2026-02-28$248 – $201,99210 plans$173 – $99,054$393 – $224,436
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$12,897$26,869
Swedish IssaquahIssaquahFile dated 2026-04-01—$12,893 – $12,897$26,861 – $26,869
Swedish Medical CenterSeattleFile dated 2026-04-01—$12,893$26,861
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$12,893$26,861
Virginia Mason Medical CenterSeattle$7,470 – $9,3314 plans$5,948$11,663

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)
$5,509 (APC 0890)
Surgery center payment (national)
$5,509