HCPCS J0121
Injection, omadacycline, 1 mg
Current code35 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4.05 – $4.46 | — | — |
| Cascade Valley Hospital | $3.92 – $4.12 | $1,121 | $1,402 |
| Deaconess Medical Center | $4.05 – $4.46 | — | — |
| Harborview Medical Center | $4.02 – $4.42 | — | — |
| Island Hospital | $4.70 – $4.98 | — | — |
| Kadlec Regional Medical Center | $4.13 – $4.96 | $950 – $1,144 | $1,358 – $1,635 |
| Legacy Salmon Creek Medical Center | $4.26 – $4.63 | — | — |
| Mary Bridge Children's Hospital | $4.05 – $4.46 | — | — |
| MultiCare Auburn Medical Center | $4.05 – $4.46 | — | — |
| MultiCare Covington Medical Center | $4.05 – $4.46 | — | — |
| MultiCare Good Samaritan Hospital | $4.05 – $4.46 | — | — |
| MultiCare Valley Hospital | $4.17 – $4.46 | — | — |
| Olympic Medical Center | $4.94 – $6.35 | — | — |
| Overlake Hospital Medical Center & Clinics | $4.13 – $4.30 | — | — |
| PeaceHealth Peace Island Medical Center | — | $1,083 | $1,666 |
| PeaceHealth Southwest Medical Cente | $4.14 – $4.76 | $1,083 | $1,666 |
| PeaceHealth St John Medical Center | $3.23 – $4.55 | $1,083 | $1,666 |
| PeaceHealth St Joseph Medical Center | $4.14 – $4.55 | $1,083 | $1,666 |
| PeaceHealth United General Medical Center | — | $1,083 | $1,666 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4.13 – $4.96 | — | — |
| Providence Centralia Hospital | $4.13 – $6.61 | — | — |
| Providence Holy Family Hospital | $4.13 – $4.55 | — | — |
| Providence Regional Medical Center Everett | $4.13 – $4.55 | — | — |
| Providence St Mary Medical Center | $4.13 – $4.55 | — | — |
| Providence St Peter Hospital | $4.13 – $6.61 | — | — |
| Skagit Valley Hospital | $3.92 – $4.23 | $1,121 | $1,402 |
| Swedish Edmonds Hospital | $4.13 – $4.96 | — | — |
| Swedish Issaquah | $4.13 – $4.96 | — | — |
| Swedish Medical Center | $4.13 – $4.96 | — | — |
| Swedish Medical Center / Cherry Hill | $4.13 – $4.96 | — | — |
| Tacoma General Allenmore Hospital | $4.05 – $4.46 | — | — |
| University of Washington Medical Ctr | $4.02 – $4.42 | — | — |
| Virginia Mason Medical Center | $2.81 – $4.22 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4.05 – $4.54 | — | — |
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