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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

Unknown: The source file doesn't say which population this rate applies to.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$37.00 – $57.00$37.00 – $57.00
Capital Medical CenterOlympiaFile dated 2026-08-27—$8.47 – $30.52$21.16 – $76.30
Cascade Valley HospitalArlington—$18.14 – $69.48$22.68 – $86.85
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$15.42 – $51.46$38.55 – $129
EvergreenHealth Medical CenterKirkland$43.20 – $4641 plan$38.40 – $413$48.00 – $516
EvergreenHealth MonroeMonroe$45.76 – $88.844 plans$52.80 – $87.20$66.00 – $109
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$13.64 – $520$44.65 – $1,704
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61$49.44
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1.00 – $40.82$2.50 – $102
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$8.35 – $32.82$20.86 – $82.05
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$10.14 – $31.24$25.33 – $78.10
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$8.47 – $33.26$21.16 – $83.15
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$15.42 – $48.52$38.55 – $121
Olympic Medical CenterPort AngelesFile dated 2026-06-24$43.08 – $58.806 plans$35.38 – $47.04$44.23 – $58.80
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$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—$115 – $214$176 – $329
PeaceHealth St Joseph Medical CenterBellingham—$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—$70.66 – $723$101 – $1,033
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$39.85 – $372$76.64 – $715
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$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—$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—$30.00 – $223$42.86 – $319
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$40.02 – $171$76.97 – $330
Seattle Children's HospitalSeattle$11.58 – $1105 plans$45.95 – $122$45.95 – $122
Skagit Valley HospitalMount Vernon—$18.14 – $69.48$22.68 – $86.85
St Anthony HospitalGig HarborFile dated 2026-02-28—$13.59 – $518$44.65 – $1,704
St Clare HospitalLakewoodFile dated 2026-02-28—$12.87 – $491$44.65 – $1,704
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$15.78 – $602$44.65 – $1,704
St Francis Community HospitalFederal WayFile dated 2026-02-28—$14.02 – $535$44.65 – $1,704
St Joseph Medical CenterTacomaFile dated 2026-02-28—$14.79 – $564$44.65 – $1,704
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$19.71 – $752$44.65 – $1,704
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04 – $83.38$75.08 – $174
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04$75.08
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04$75.08
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04$75.08
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$8.47 – $32.66$21.16 – $81.65
Three Rivers HospitalBrewster$20.87 – $82.412 plans$30.87 – $101$30.87 – $101
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$1.46 – $4.39$2.86 – $8.60
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.