HCPCS J0401

Injection, aripiprazole (abilify maintena), 1 mg

Current code36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J0401 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$7.13 – $7.846 plans——
Cascade Valley HospitalArlington$7.07 – $7.423 plans$4,669$5,836
Deaconess Medical CenterSpokaneFile dated 2026-08-27$7.13 – $7.848 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$7.28 – $8.005 plans——
Island HospitalAnacortes$8.50 – $9.0111 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$7.27 – $8.737 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$7.49 – $8.146 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$7.13 – $7.847 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$7.13 – $7.847 plans$10.39 – $10.60$25.97 – $26.50
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$7.13 – $7.847 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$7.13 – $7.847 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$7.34 – $7.847 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$8.93 – $11.485 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$7.27 – $7.563 plans$4,282 – $4,419$8,565 – $8,839
PeaceHealth Peace Island Medical CenterFriday Harbor—$5,637$8,673
PeaceHealth Southwest Medical CenteVancouver$7.28 – $8.3713 plans$5,637$8,673
PeaceHealth St John Medical CenterLongview$5.68 – $8.0114 plans$5,637$8,673
PeaceHealth St Joseph Medical CenterBellingham$7.28 – $8.018 plans$5,637$8,673
PeaceHealth United General Medical CenterSedro Woolley—$5,637$8,673
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$7.27 – $8.737 plans$5,474 – $7,299$7,821 – $10,427
Providence Centralia HospitalCentraliaFile dated 2026-04-01$7.27 – $11.636 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$7.27 – $8.005 plans$5,474 – $7,299$7,821 – $10,427
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$7.27 – $8.006 plans$7.28 – $6,328$14.00 – $12,169
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$7.27 – $8.005 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$7.27 – $11.636 plans——
Seattle Children's HospitalSeattle—$14,199 – $18,919$14,199 – $18,919
Skagit Valley HospitalMount Vernon$7.07 – $7.644 plans$4,669$5,836
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$7.27 – $8.737 plans$7,103$14,798
Swedish IssaquahIssaquahFile dated 2026-04-01$7.27 – $8.737 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$7.27 – $8.737 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$7.27 – $8.737 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$7.13 – $7.847 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$7.28 – $8.005 plans——
Virginia Mason Medical CenterSeattle$5.10 – $7.649 plans$10.81 – $12.00$21.20 – $23.53
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$7.13 – $7.988 plans——

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$7.46 (APC 1468)
Surgery center payment (national)
$7.46