HCPCS J0290
Injection, ampicillin sodium, 500 mg
Current code48 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) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $37.00 – $57.00 | $37.00 – $57.00 |
| Capital Medical Center | — | $8.47 – $30.52 | $21.16 – $76.30 |
| Cascade Valley Hospital | $368 – $803 | $18.14 – $69.48 | $22.68 – $86.85 |
| Deaconess Medical Center | — | $15.42 – $51.46 | $38.55 – $129 |
| EvergreenHealth Medical Center | — | $38.40 – $413 | $48.00 – $516 |
| EvergreenHealth Monroe | — | $52.80 – $87.20 | $66.00 – $109 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $13.64 – $520 | $44.65 – $1,704 |
| Kadlec Regional Medical Center | — | $34.61 | $49.44 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $1.00 – $40.82 | $2.50 – $102 |
| MultiCare Auburn Medical Center | — | $8.35 – $32.82 | $20.86 – $82.05 |
| MultiCare Covington Medical Center | — | $10.14 – $31.24 | $25.33 – $78.10 |
| MultiCare Good Samaritan Hospital | — | $8.47 – $33.26 | $21.16 – $83.15 |
| MultiCare Valley Hospital | — | $15.42 – $48.52 | $38.55 – $121 |
| Olympic Medical Center | — | $35.38 – $47.04 | $44.23 – $58.80 |
| Overlake Hospital Medical Center & Clinics | — | $5.50 – $22.78 | $11.01 – $45.57 |
| PeaceHealth Peace Island Medical Center | — | $115 – $345 | $176 – $531 |
| PeaceHealth Southwest Medical Cente | — | $115 – $214 | $176 – $329 |
| PeaceHealth St John Medical Center | — | $115 – $214 | $176 – $329 |
| PeaceHealth St Joseph Medical Center | — | $115 – $214 | $176 – $329 |
| PeaceHealth United General Medical Center | — | $115 – $214 | $176 – $329 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $723 | $101 – $1,033 |
| Providence Centralia Hospital | — | $39.85 – $372 | $76.64 – $715 |
| Providence Holy Family Hospital | — | $70.66 – $723 | $101 – $1,033 |
| Providence Mount Carmel Hospital | — | $70.66 – $334 | $101 – $477 |
| Providence Regional Medical Center Everett | — | $37.04 – $148 | $71.24 – $285 |
| Providence St Joseph Hospital | — | $70.66 – $89.04 | $101 – $127 |
| Providence St Mary Medical Center | — | $30.00 – $223 | $42.86 – $319 |
| Providence St Peter Hospital | — | $40.02 – $171 | $76.97 – $330 |
| Seattle Children's Hospital | — | $45.95 – $122 | $45.95 – $122 |
| Skagit Valley Hospital | — | $18.14 – $69.48 | $22.68 – $86.85 |
| St Anthony Hospital | — | $13.59 – $518 | $44.65 – $1,704 |
| St Clare Hospital | — | $12.87 – $491 | $44.65 – $1,704 |
| St Elizabeth Hospital | $8.04 – $375 | $15.78 – $602 | $44.65 – $1,704 |
| St Francis Community Hospital | — | $14.02 – $535 | $44.65 – $1,704 |
| St Joseph Medical Center | — | $14.79 – $564 | $44.65 – $1,704 |
| St Michael Medical Center | — | $19.71 – $752 | $44.65 – $1,704 |
| Swedish Edmonds Hospital | — | $36.04 – $83.38 | $75.08 – $174 |
| Swedish Issaquah | — | $36.04 | $75.08 |
| Swedish Medical Center | — | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | — | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | — | $8.47 – $32.66 | $21.16 – $81.65 |
| Three Rivers Hospital | — | $30.87 – $101 | $30.87 – $101 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $1.46 – $4.39 | $2.86 – $8.60 |
| Yakima Valley Memorial | — | $6.08 – $33.14 | $15.20 – $82.85 |
Medicare (traditional) reference
CMS publishes no national amount for this code.