HCPCS J0720
Injection, chloramphenicol sodium succinate, up to 1 gm
Current code34 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $29.00 | $94.95 |
| Island Hospital | $58.71 | — | — |
| Kadlec Regional Medical Center | — | $149 | $212 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | $129 | $247 |
| Providence St Mary Medical Center | — | $270 | $385 |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $28.88 | $94.95 |
| St Clare Hospital | — | $27.37 | $94.95 |
| St Elizabeth Hospital | $16.15 – $19.66 | $33.56 | $94.95 |
| St Francis Community Hospital | — | $29.80 | $94.95 |
| St Joseph Medical Center | — | $31.45 | $94.95 |
| St Michael Medical Center | — | $41.91 | $94.95 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.