CareNavIQ

Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

HCPCS J0290

Injection, ampicillin sodium, 500 mg

Current code48 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)
BHC Fairfax HospitalKirkland$24.05 – $37.051 plan$37.00 – $57.00$37.00 – $57.00
Capital Medical CenterOlympiaFile dated 2026-08-27$15.45 – $64.862 plans$8.47 – $30.52$21.16 – $76.30
Cascade Valley HospitalArlington$1.93 – $8038 plans$18.14 – $69.48$22.68 – $86.85
Deaconess Medical CenterSpokaneFile dated 2026-08-27$14.32 – $93.905 plans$15.42 – $51.46$38.55 – $129
EvergreenHealth Medical CenterKirkland$1.46 – $4807 plans$38.40 – $413$48.00 – $516
EvergreenHealth MonroeMonroe$41.58 – $10112 plans$52.80 – $87.20$66.00 – $109
Harborview Medical CenterSeattleFile dated 2026-04-01$1.021 plan——
Highline Medical CenterBurienFile dated 2026-02-28$19.20 – $1,5345 plans$13.64 – $520$44.65 – $1,704
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.10 – $2.703 plans$34.61$49.44
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1.00 – $1.353 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.61 – $83.076 plans$1.00 – $40.82$2.50 – $102
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$15.23 – $59.902 plans$8.35 – $32.82$20.86 – $82.05
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$18.49 – $57.012 plans$10.14 – $31.24$25.33 – $78.10
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$15.45 – $60.702 plans$8.47 – $33.26$21.16 – $83.15
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$14.32 – $87.345 plans$15.42 – $48.52$38.55 – $121
Olympic Medical CenterPort AngelesFile dated 2026-06-24$24.72 – $58.806 plans$35.38 – $47.04$44.23 – $58.80
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1.32 – $1.413 plans$5.50 – $22.78$11.01 – $45.57
PeaceHealth Peace Island Medical CenterFriday Harbor—$115 – $345$176 – $531
PeaceHealth Southwest Medical CenteVancouver—$115 – $214$176 – $329
PeaceHealth St John Medical CenterLongview$1.031 plan$115 – $214$176 – $329
PeaceHealth St Joseph Medical CenterBellingham$1.021 plan$115 – $214$176 – $329
PeaceHealth United General Medical CenterSedro Woolley—$115 – $214$176 – $329
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1.10 – $1.582 plans$70.66 – $723$101 – $1,033
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.99 – $3.814 plans$39.85 – $372$76.64 – $715
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1.10 – $1.582 plans$70.66 – $723$101 – $1,033
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $334$101 – $477
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1.10 – $1.583 plans$37.04 – $148$71.24 – $285
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $89.04$101 – $127
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1.58 – $5.442 plans$30.00 – $223$42.86 – $319
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1.10 – $1.642 plans$40.02 – $171$76.97 – $330
Seattle Children's HospitalSeattle$24.81 – $11798 plans$45.95 – $122$45.95 – $122
Skagit Valley HospitalMount Vernon$3.27 – $82.517 plans$18.14 – $69.48$22.68 – $86.85
St Anthony HospitalGig HarborFile dated 2026-02-28$22.33 – $1,2783 plans$13.59 – $518$44.65 – $1,704
St Clare HospitalLakewoodFile dated 2026-02-28$22.33 – $1,2783 plans$12.87 – $491$44.65 – $1,704
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1.00 – $1,5348 plans$15.78 – $602$44.65 – $1,704
St Francis Community HospitalFederal WayFile dated 2026-02-28$22.33 – $1,2783 plans$14.02 – $535$44.65 – $1,704
St Joseph Medical CenterTacomaFile dated 2026-02-28$22.33 – $1,2783 plans$14.79 – $564$44.65 – $1,704
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1.76 – $1,53410 plans$19.71 – $752$44.65 – $1,704
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1.101 plan$36.04 – $83.38$75.08 – $174
Swedish IssaquahIssaquahFile dated 2026-04-01$1.101 plan$36.04$75.08
Swedish Medical CenterSeattleFile dated 2026-04-01$1.101 plan$36.04$75.08
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1.101 plan$36.04$75.08
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$15.45 – $59.602 plans$8.47 – $32.66$21.16 – $81.65
Three Rivers HospitalBrewster—$30.87 – $101$30.87 – $101
University of Washington Medical CtrSeattleFile dated 2026-04-01$1.021 plan——
Virginia Mason Medical CenterSeattle$1.72 – $6.889 plans$1.46 – $4.39$2.86 – $8.60
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.63 – $71.007 plans$6.08 – $33.14$15.20 – $82.85

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.