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HCPCS J0153

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

Current code55 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Arbor Health Morton HospitalMortonFile dated 2026-05-18—$15.73 – $18.10$25.37 – $29.20
Capital Medical CenterOlympiaFile dated 2026-08-27—$2.85 – $30.22$7.11 – $75.55
Cascade Medical CenterLeavenworth$1.20 – $49.642 plans$44.52$55.65
Cascade Valley HospitalArlington—$1.92 – $48.38$2.40 – $60.48
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$2.69 – $49.06$6.72 – $123
East Adams Rural HospitalRitzvilleFile dated 2025-08-30$3.361 plan$2.83$3.77
EvergreenHealth Medical CenterKirkland—$130$162
EvergreenHealth MonroeMonroe—$37.60$47.00
Forks Community HospitalForksFile dated 2026-10-27$2.95 – $3.592 plans$6.38$7.98
Garfield County Public Hospital District #1PomeroyFile dated 2026-09-02—$5.78$6.80
Highline Medical CenterBurienFile dated 2026-02-28—$1.64 – $1,446$2.70 – $4,735
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61 – $314$49.44 – $449
Kittitas Valley Community HospitalEllensburgFile dated 2026-10-07—$53.64$63.11
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Lincoln HospitalDavenportFile dated 2026-09-14$24.413 plans$39.23$43.59
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$3.38 – $35.60$8.43 – $89.00
Mason General Hospital & Family of ClinicsShelton—$26.25 – $48.75$35.00 – $65.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$1.67 – $30.20$4.17 – $75.50
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$2.85 – $5.67$7.11 – $14.17
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1.67 – $30.54$4.17 – $76.35
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$3.12 – $8.87$7.78 – $22.17
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$43.82$54.78
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$5.76 – $543$11.53 – $1,085
PeaceHealth Peace Island Medical CenterFriday Harbor—$42.97 – $261$66.11 – $401
PeaceHealth Southwest Medical CenteVancouver—$42.97 – $261$66.11 – $401
PeaceHealth St John Medical CenterLongview—$42.97 – $389$66.11 – $598
PeaceHealth St Joseph Medical CenterBellingham—$41.60 – $261$64.00 – $401
PeaceHealth United General Medical CenterSedro Woolley—$42.97 – $261$66.11 – $401
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $1,060$101 – $1,514
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$47.10$90.57
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $1,060$101 – $1,514
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $111$101 – $159
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$40.65 – $356$78.18 – $685
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66$101
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00 – $104$42.86 – $148
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$42.83 – $97.95$82.37 – $188
Quincy Valley Medical CenterQuincyFile dated 2026-05-27—$60.38$60.38
Seattle Children's HospitalSeattle$20.091 plan$49.00$49.00
Skagit Valley HospitalMount Vernon—$1.92 – $48.38$2.40 – $60.48
St Anthony HospitalGig HarborFile dated 2026-02-28—$1.63 – $1,440$2.70 – $4,735
St Clare HospitalLakewoodFile dated 2026-02-28—$1.55 – $1,365$2.70 – $4,735
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$1.90 – $1,673$2.70 – $4,735
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1.68 – $1,486$2.70 – $4,735
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1.78 – $1,568$2.70 – $4,735
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1.20 – $2,090$2.70 – $4,735
Summit Pacific Medical CenterElmaFile dated 2026-08-31$19.541 plan$42.21$78.16
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04 – $325$75.08 – $678
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04 – $325$75.08 – $678
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04 – $255$75.08 – $532
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04 – $325$75.08 – $678
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1.16 – $10.35$2.04 – $25.87
Three Rivers HospitalBrewster—$115$115
Virginia Mason Medical CenterSeattle—$1.39 – $1.85$1.05 – $3.62
WhidbeyHealth Medical CenterCoupeville—$35.00$35.00
Yakima Valley MemorialYakimaFile dated 2026-08-27—$1.25 – $40.70$3.11 – $102

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

CMS publishes no national amount for this code.