HCPCS J0120
Injection, tetracycline, up to 250 mg
Current code7 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) |
|---|---|---|---|
| Prov Sacred HRT Med Ctr & Childs Hosp. | $28.28 | — | — |
| Providence Centralia Hospital | $35.63 | — | — |
| Providence Holy Family Hospital | $28.28 | — | — |
| Providence Regional Medical Center Everett | $28.28 | — | — |
| Providence St Mary Medical Center | $28.28 | — | — |
| Providence St Peter Hospital | $29.41 | — | — |
| Virginia Mason Medical Center | $310 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.