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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4,427 – $6,559 | — | — |
| Deaconess Medical Center | $4,051 – $4,289 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $120 – $68,533 | $393 – $224,436 |
| Island Hospital | $4,179 – $4,534 | — | — |
| Kadlec Regional Medical Center | — | $10,327 – $10,330 | $14,752 – $14,757 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $4,190 – $4,525 | — | — |
| MultiCare Auburn Medical Center | $4,114 – $4,443 | — | — |
| MultiCare Covington Medical Center | $4,114 – $4,443 | — | — |
| MultiCare Good Samaritan Hospital | $4,209 – $4,546 | — | — |
| MultiCare Valley Hospital | $4,022 – $4,258 | — | — |
| Olympic Medical Center | $5,178 – $5,671 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $13,249 – $13,254 | $18,928 – $18,934 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $13,249 – $13,254 | $18,928 – $18,934 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $14,256 – $14,261 | $20,366 – $20,373 |
| Providence St Peter Hospital | — | $14,091 – $14,095 | $27,098 – $27,107 |
| Seattle Children's Hospital | — | $39,923 | $39,923 |
| St Anthony Hospital | — | $120 – $68,262 | $393 – $224,436 |
| St Clare Hospital | — | $113 – $64,692 | $393 – $224,436 |
| St Elizabeth Hospital | $66.81 – $46,458 | $139 – $79,308 | $393 – $224,436 |
| St Francis Community Hospital | — | $123 – $70,433 | $393 – $224,436 |
| St Joseph Medical Center | — | $130 – $74,333 | $393 – $224,436 |
| St Michael Medical Center | — | $173 – $99,054 | $393 – $224,436 |
| Swedish Edmonds Hospital | — | $12,897 | $26,869 |
| Swedish Issaquah | — | $12,893 – $12,897 | $26,861 – $26,869 |
| Swedish Medical Center | — | $12,893 | $26,861 |
| Swedish Medical Center / Cherry Hill | — | $12,893 | $26,861 |
| Tacoma General Allenmore Hospital | $4,211 – $4,547 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $5,948 | $11,663 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4,023 – $4,674 | — | — |
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