HCPCS J0458
Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg)
Current code13 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1.64 – $1.81 | — | — |
| Deaconess Medical Center | $1.64 – $1.81 | — | — |
| Harborview Medical Center | $1.68 – $1.85 | — | — |
| Mary Bridge Children's Hospital | $1.64 – $1.81 | — | — |
| MultiCare Auburn Medical Center | $1.64 – $1.81 | — | — |
| MultiCare Covington Medical Center | $1.64 – $1.81 | — | — |
| MultiCare Good Samaritan Hospital | $1.64 – $1.81 | — | — |
| MultiCare Valley Hospital | $1.69 – $1.81 | — | — |
| Tacoma General Allenmore Hospital | $1.64 – $1.81 | $2.44 – $2.48 | $6.09 – $6.18 |
| University of Washington Medical Ctr | $1.68 – $1.85 | — | — |
| Virginia Mason Medical Center | $1.18 – $1.76 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1.64 – $1.84 | — | — |
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)
- $1.76 (APC 0878)
- Surgery center payment (national)
- $1.76