HCPCS M0224

Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring

Current codeInjection - Monoclonal Antibodies28 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS M0224 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$500 – $5506 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$482 – $5308 plans——
EvergreenHealth Medical CenterKirkland$527 – $5385 plans$982$1,227
Harborview Medical CenterSeattleFile dated 2026-04-01$511 – $5625 plans$1,058$1,511
Island HospitalAnacortes$526 – $55811 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$506 – $5506 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$504 – $5557 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$502 – $5527 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$502 – $5527 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$504 – $5557 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$496 – $5307 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$553 – $7105 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$512 – $5333 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$491 – $5907 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$511 – $8177 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$491 – $5415 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$502 – $5526 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$491 – $5416 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$507 – $8117 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$502 – $6038 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$512 – $6148 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$511 – $6138 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$511 – $6138 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$504 – $5557 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$511 – $5625 plans$983$1,404
Virginia Mason Medical CenterSeattle$344 – $5159 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$516 – $5788 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$451 (APC 1506)