HCPCS J7504
Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg
Current codeInjection - Immune Globulin36 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $3,584 – $25,960 | — | — |
| Deaconess Medical Center | $4,805 – $17,249 | — | — |
| Harborview Medical Center | $3,531 – $11,151 | — | — |
| Highline Medical Center | $169 – $201,992 | $120 – $68,533 | $393 – $224,436 |
| Island Hospital | $5,308 – $10,798 | — | — |
| Kadlec Regional Medical Center | $3,591 – $16,552 | $10,327 – $10,330 | $14,752 – $14,757 |
| Legacy Salmon Creek Medical Center | $2,838 – $12,324 | — | — |
| Mary Bridge Children's Hospital | $4,805 – $41,815 | — | — |
| MultiCare Auburn Medical Center | $4,779 – $13,896 | — | — |
| MultiCare Covington Medical Center | $4,779 – $13,896 | — | — |
| MultiCare Good Samaritan Hospital | $4,805 – $13,896 | — | — |
| MultiCare Valley Hospital | $4,805 – $17,249 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $3,920 – $16,662 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,801 – $17,558 | $13,249 – $13,254 | $18,928 – $18,934 |
| Providence Centralia Hospital | $3,983 – $28,074 | — | — |
| Providence Holy Family Hospital | $3,288 – $16,290 | $13,249 – $13,254 | $18,928 – $18,934 |
| Providence Regional Medical Center Everett | $3,053 – $12,278 | — | — |
| Providence St Mary Medical Center | $3,983 – $24,627 | $14,256 – $14,261 | $20,366 – $20,373 |
| Providence St Peter Hospital | $3,591 – $17,280 | $14,091 – $14,095 | $27,098 – $27,107 |
| Seattle Children's Hospital | $21,558 – $38,326 | $39,923 | $39,923 |
| St Anthony Hospital | $196 – $168,327 | $120 – $68,262 | $393 – $224,436 |
| St Clare Hospital | $196 – $168,327 | $113 – $64,692 | $393 – $224,436 |
| St Elizabeth Hospital | $131 – $201,992 | $139 – $79,308 | $393 – $224,436 |
| St Francis Community Hospital | $196 – $168,327 | $123 – $70,433 | $393 – $224,436 |
| St Joseph Medical Center | $196 – $168,327 | $130 – $74,333 | $393 – $224,436 |
| St Michael Medical Center | $287 – $201,992 | $173 – $99,054 | $393 – $224,436 |
| Swedish Edmonds Hospital | $3,288 – $13,443 | $12,897 | $26,869 |
| Swedish Issaquah | $3,288 – $11,749 | $12,893 – $12,897 | $26,861 – $26,869 |
| Swedish Medical Center | $3,288 – $18,903 | $12,893 | $26,861 |
| Swedish Medical Center / Cherry Hill | $3,288 – $18,903 | $12,893 | $26,861 |
| Tacoma General Allenmore Hospital | $4,779 – $13,896 | — | — |
| University of Washington Medical Ctr | $3,399 – $16,104 | — | — |
| Virginia Mason Medical Center | $3,968 – $15,451 | $5,948 | $11,663 |
| Wellfound Behavioral Health Hospital | $13,355 | — | — |
| Yakima Valley Memorial | $5,096 – $10,018 | — | — |
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