HCPCS J0402

Injection, aripiprazole (abilify asimtufii), 1 mg

Current code28 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 J0402 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$5.33 – $35.2713 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$7.34 – $26.059 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$6.39 – $13.093 plans——
Island HospitalAnacortes$6.02 – $12.676 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$5.88 – $22.509 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$7.50 – $14.478 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$9.34 – $4,1649 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$7.10 – $27.0414 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$7.10 – $27.0414 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$8.29 – $27.049 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$8.29 – $25.9910 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$5.33 – $17.4111 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$4.59 – $19.9813 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$5.92 – $37.6712 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$5.88 – $18.5411 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5.00 – $13.9711 plans$9,443$18,160
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$5.92 – $36.6410 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$5.12 – $19.6613 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$7.10 – $15.3012 plans$10,654 – $14,210$22,196 – $29,605
Swedish IssaquahIssaquahFile dated 2026-04-01$5.92 – $13.3711 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$5.92 – $21.5118 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5.92 – $21.5112 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$7.10 – $27.0414 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$6.39 – $18.9011 plans——
Virginia Mason Medical CenterSeattle$5.95 – $21.007 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$15.201 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$9.44 – $14.8011 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)
$6.19 (APC 9246)
Surgery center payment (national)
$6.19