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HCPCS J0138

Injection, acetaminophen 10 mg and ibuprofen 3 mg

Current code7 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.061 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.731 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.021 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1.021 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.021 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.06 – $1.432 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.021 plan——

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)
$0.13 (APC 2075)
Surgery center payment (national)
$0.13