HCPCS J0457
Injection, aztreonam, 100 mg
Current code44 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1.92 – $4.06 | — | — |
| Cascade Valley Hospital | $22.95 – $2,700 | $216 | $270 |
| Deaconess Medical Center | $4.06 – $11.24 | — | — |
| Harborview Medical Center | $2.74 | — | — |
| Highline Medical Center | $51.86 – $434 | $36.83 – $147 | $121 – $482 |
| Island Hospital | $2.23 | — | — |
| Kadlec Regional Medical Center | $2.54 – $7.87 | $82.98 – $216 | $119 – $308 |
| Legacy Salmon Creek Medical Center | $3.99 – $6.07 | — | — |
| Mary Bridge Children's Hospital | $4.06 – $24.47 | $10.16 – $12.03 | $25.38 – $30.06 |
| MultiCare Auburn Medical Center | $2.56 – $11.67 | — | — |
| MultiCare Covington Medical Center | $2.56 – $14.49 | $6.34 – $7.94 | $15.84 – $19.85 |
| MultiCare Good Samaritan Hospital | $4.06 – $11.67 | — | — |
| MultiCare Valley Hospital | $3.20 – $11.21 | — | — |
| Olympic Medical Center | $89.97 – $275 | $129 – $220 | $161 – $275 |
| Overlake Hospital Medical Center & Clinics | $3.85 – $6.27 | $37.92 – $78.12 | $75.84 – $156 |
| PeaceHealth Peace Island Medical Center | — | $159 – $208 | $245 – $320 |
| PeaceHealth Southwest Medical Cente | $3.46 | $159 – $208 | $245 – $320 |
| PeaceHealth St John Medical Center | $3.88 | $159 – $208 | $245 – $320 |
| PeaceHealth St Joseph Medical Center | $3.87 | $159 – $208 | $245 – $320 |
| PeaceHealth United General Medical Center | — | $159 – $208 | $245 – $320 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.98 – $4.59 | $225 – $607 | $322 – $867 |
| Providence Centralia Hospital | $2.13 – $15.91 | $142 – $231 | $273 – $444 |
| Providence Holy Family Hospital | $2.54 – $4.59 | $225 – $607 | $322 – $867 |
| Providence Mount Carmel Hospital | — | $225 – $556 | $322 – $794 |
| Providence Regional Medical Center Everett | $2.16 – $4.59 | $94.94 – $139 | $183 – $268 |
| Providence St Joseph Hospital | — | $225 – $607 | $322 – $867 |
| Providence St Mary Medical Center | $2.13 – $13.18 | $151 – $372 | $215 – $531 |
| Providence St Peter Hospital | $2.13 – $4.74 | $142 – $231 | $273 – $444 |
| Seattle Children's Hospital | $154 – $405 | $285 – $422 | $285 – $422 |
| Skagit Valley Hospital | $38.96 – $257 | $216 | $270 |
| St Anthony Hospital | $60.30 – $362 | $36.69 – $147 | $121 – $482 |
| St Clare Hospital | $60.30 – $362 | $34.77 – $139 | $121 – $482 |
| St Elizabeth Hospital | $40.16 – $434 | $42.62 – $170 | $121 – $482 |
| St Francis Community Hospital | $60.30 – $362 | $37.85 – $151 | $121 – $482 |
| St Joseph Medical Center | $60.30 – $362 | $39.95 – $160 | $121 – $482 |
| St Michael Medical Center | $77.19 – $434 | $53.23 – $213 | $121 – $482 |
| Swedish Edmonds Hospital | $2.56 – $5.33 | $56.22 – $152 | $117 – $316 |
| Swedish Issaquah | $2.13 – $5.33 | $56.22 – $152 | $117 – $316 |
| Swedish Medical Center | $2.13 – $5.81 | $56.22 – $152 | $117 – $316 |
| Swedish Medical Center / Cherry Hill | $2.13 – $5.81 | $56.22 – $152 | $117 – $316 |
| Tacoma General Allenmore Hospital | $2.56 – $11.67 | $6.34 | $15.84 |
| University of Washington Medical Ctr | $2.74 – $3.41 | — | — |
| Virginia Mason Medical Center | $1.97 – $8.91 | $5.68 | $11.14 |
| Yakima Valley Memorial | $4.26 – $17.01 | $5.36 – $7.94 | $13.40 – $19.85 |
Medicare (traditional) reference
CMS publishes no national amount for this code.