HCPCS J0121

Injection, omadacycline, 1 mg

Current code35 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.

Prices for HCPCS J0121 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3.49 – $23.3416 plans——
Cascade Valley HospitalArlington$3.66 – $1,40211 plans$1,121$1,402
Deaconess Medical CenterSpokaneFile dated 2026-08-27$5.49 – $16.159 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$3.91 – $8.734 plans——
Island HospitalAnacortes$4.14 – $8.466 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$3.66 – $14.9011 plans$950 – $1,144$1,358 – $1,635
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4.09 – $9.658 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$5.89 – $4,1649 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$4.66 – $16.7617 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$4.66 – $16.7617 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5.49 – $16.7612 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$5.49 – $16.1110 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3.53 – $19.5515 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$1,083$1,666
PeaceHealth Southwest Medical CenteVancouver$1.66 – $13.436 plans$1,083$1,666
PeaceHealth St John Medical CenterLongview$1.66 – $7.204 plans$1,083$1,666
PeaceHealth St Joseph Medical CenterBellingham$4.14 – $7.162 plans$1,083$1,666
PeaceHealth United General Medical CenterSedro Woolley—$1,083$1,666
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2.85 – $13.7114 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3.88 – $24.8213 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$3.66 – $12.7211 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$3.11 – $9.5912 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$3.88 – $23.9910 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3.51 – $13.5014 plans——
Skagit Valley HospitalMount Vernon$3.66 – $1,33110 plans$1,121$1,402
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$4.05 – $10.5014 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3.88 – $9.4413 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$3.88 – $14.7720 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3.88 – $14.7714 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$4.66 – $16.7617 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$3.91 – $12.6113 plans——
Virginia Mason Medical CenterSeattle$3.80 – $13.918 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$10.431 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$6.20 – $10.1613 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)
$4.29 (APC 9311)
Surgery center payment (national)
$4.29