HCPCS J0742
Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg
Current code29 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 | $2.27 – $14.89 | — | — |
| Deaconess Medical Center | $3.50 – $10.61 | — | — |
| EvergreenHealth Medical Center | $11.95 – $1,808 | $1,555 | $1,944 |
| Harborview Medical Center | $2.67 | — | — |
| Island Hospital | $2.60 | — | — |
| Kadlec Regional Medical Center | $2.46 – $9.50 | — | — |
| Legacy Salmon Creek Medical Center | $2.81 – $6.26 | — | — |
| Mary Bridge Children's Hospital | $3.81 – $400 | — | — |
| MultiCare Auburn Medical Center | $3.02 – $11.02 | — | — |
| MultiCare Covington Medical Center | $3.02 – $11.02 | — | — |
| MultiCare Good Samaritan Hospital | $3.50 – $11.02 | — | — |
| MultiCare Valley Hospital | $3.50 – $10.59 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $2.25 – $14.01 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.92 – $5.50 | $783 – $828 | $1,119 – $1,183 |
| Providence Centralia Hospital | $2.52 – $16.05 | — | — |
| Providence Holy Family Hospital | $2.46 – $5.50 | $783 – $828 | $1,119 – $1,183 |
| Providence Regional Medical Center Everett | $2.09 – $5.50 | — | — |
| Providence St Mary Medical Center | $2.52 – $15.53 | — | — |
| Providence St Peter Hospital | $2.46 – $6.99 | — | — |
| Seattle Children's Hospital | $1,137 – $2,021 | $2,105 | $2,105 |
| Swedish Edmonds Hospital | $2.74 – $5.22 | — | — |
| Swedish Issaquah | $2.52 – $6.77 | — | — |
| Swedish Medical Center | $2.52 – $6.77 | — | — |
| Swedish Medical Center / Cherry Hill | $2.52 – $6.77 | — | — |
| Tacoma General Allenmore Hospital | $3.02 – $11.02 | $3.86 – $4.94 | $9.65 – $12.35 |
| University of Washington Medical Ctr | $2.67 – $4.03 | — | — |
| Virginia Mason Medical Center | $2.51 – $8.87 | — | — |
| Yakima Valley Memorial | $4.44 – $7.28 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.