HCPCS J0207
Injection, amifostine, 500 mg
Current code34 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,966 – $2,913 | — | — |
| Deaconess Medical Center | $1,799 – $1,905 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $1,509 | $4,943 |
| Island Hospital | $1,856 – $2,014 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $1,861 – $2,010 | — | — |
| MultiCare Auburn Medical Center | $1,827 – $1,973 | — | — |
| MultiCare Covington Medical Center | $1,827 – $1,973 | — | — |
| MultiCare Good Samaritan Hospital | $1,869 – $2,019 | — | — |
| MultiCare Valley Hospital | $1,786 – $1,891 | — | — |
| Olympic Medical Center | $2,300 – $2,519 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | $2,084 | $4,008 |
| St Anthony Hospital | — | $1,503 | $4,943 |
| St Clare Hospital | — | $1,425 | $4,943 |
| St Elizabeth Hospital | $840 – $1,023 | $1,747 | $4,943 |
| St Francis Community Hospital | — | $1,551 | $4,943 |
| St Joseph Medical Center | — | $1,637 | $4,943 |
| St Michael Medical Center | — | $2,182 | $4,943 |
| Swedish Edmonds Hospital | — | $3,046 – $3,079 | $6,346 – $6,415 |
| Swedish Issaquah | — | $3,046 – $3,079 | $6,346 – $6,415 |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | $3,046 – $3,079 | $6,346 – $6,415 |
| Tacoma General Allenmore Hospital | $1,870 – $2,020 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | $1,787 – $2,076 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.