HCPCS J0400

Injection, aripiprazole, intramuscular, 0.25 mg

Current code12 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.

Prices for HCPCS J0400 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$23.421 plan——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.221 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$41.291 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$24.311 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$24.311 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$24.311 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$23.361 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1.40 – $1.493 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.221 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$24.311 plan——
Virginia Mason Medical CenterSeattle$15.551 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$14.601 plan——

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.