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HCPCS J0457

Injection, aztreonam, 100 mg

Current code44 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.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$2,7001 plan$216$270
Highline Medical CenterBurienFile dated 2026-02-28—$36.83 – $147$121 – $482
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$82.98 – $216$119 – $308
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$10.16 – $12.03$25.38 – $30.06
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$6.34 – $7.94$15.84 – $19.85
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$129 – $220$161 – $275
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$37.92 – $78.12$75.84 – $156
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$225 – $607$322 – $867
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$142 – $231$273 – $444
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$225 – $607$322 – $867
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$225 – $556$322 – $794
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$94.94 – $139$183 – $268
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$225 – $607$322 – $867
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$151 – $372$215 – $531
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$142 – $231$273 – $444
Seattle Children's HospitalSeattle—$285 – $422$285 – $422
Skagit Valley HospitalMount Vernon—$216$270
St Anthony HospitalGig HarborFile dated 2026-02-28—$36.69 – $147$121 – $482
St Clare HospitalLakewoodFile dated 2026-02-28—$34.77 – $139$121 – $482
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$42.62 – $170$121 – $482
St Francis Community HospitalFederal WayFile dated 2026-02-28—$37.85 – $151$121 – $482
St Joseph Medical CenterTacomaFile dated 2026-02-28—$39.95 – $160$121 – $482
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$53.23 – $213$121 – $482
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$56.22 – $152$117 – $316
Swedish IssaquahIssaquahFile dated 2026-04-01—$56.22 – $152$117 – $316
Swedish Medical CenterSeattleFile dated 2026-04-01—$56.22 – $152$117 – $316
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$56.22 – $152$117 – $316
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$6.34$15.84
Virginia Mason Medical CenterSeattle—$5.68$11.14
Yakima Valley MemorialYakimaFile dated 2026-08-27—$5.36 – $7.94$13.40 – $19.85

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.