HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Current code34 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J0743 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland$8.23 – $4,8777 plans$154 – $4,195$192 – $5,244
Harborview Medical CenterSeattleFile dated 2026-04-01$8.601 plan——
Highline Medical CenterBurienFile dated 2026-02-28$66.25 – $7925 plans$47.05 – $269$154 – $880
Island HospitalAnacortes$7.102 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$8.94 – $27.364 plans$40.12$57.31
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$16.14 – $24.604 plans$10.40$16.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$13.39 – $14.263 plans$16.90 – $16.91$33.79 – $33.82
PeaceHealth Peace Island Medical CenterFriday Harbor—$133 – $133$205 – $205
PeaceHealth Southwest Medical CenteVancouver$11.011 plan$133 – $133$205 – $205
PeaceHealth St John Medical CenterLongview$12.361 plan$133 – $133$205 – $205
PeaceHealth St Joseph Medical CenterBellingham$12.291 plan$133 – $134$205 – $205
PeaceHealth United General Medical CenterSedro Woolley—$133 – $133$205 – $205
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$7.87 – $15.843 plans$102 – $109$146 – $156
Providence Centralia HospitalCentraliaFile dated 2026-04-01$19.96 – $47.054 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$7.87 – $15.843 plans$102 – $109$146 – $156
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$100 – $339$143 – $485
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$7.87 – $15.844 plans$45.77 – $71.45$88.02 – $137
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$102 – $109$146 – $156
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$15.84 – $42.742 plans$56.27 – $188$80.38 – $269
Providence St Peter HospitalOlympiaFile dated 2026-04-01$13.56 – $16.472 plans——
Seattle Children's HospitalSeattle$132 – $23598 plans$245$245
St Anthony HospitalGig HarborFile dated 2026-02-28$77.03 – $6603 plans$46.86 – $268$154 – $880
St Clare HospitalLakewoodFile dated 2026-02-28$77.03 – $6603 plans$44.41 – $254$154 – $880
St Elizabeth HospitalEnumclawFile dated 2026-02-28$8.87 – $7928 plans$54.44 – $311$154 – $880
St Francis Community HospitalFederal WayFile dated 2026-02-28$77.03 – $6603 plans$48.35 – $276$154 – $880
St Joseph Medical CenterTacomaFile dated 2026-02-28$77.03 – $6603 plans$51.03 – $291$154 – $880
St Michael Medical CenterSilverdaleFile dated 2026-02-28$11.96 – $79210 plans$67.99 – $388$154 – $880
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$7.87 – $13.954 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$7.87 – $13.953 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$7.87 – $13.562 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$7.87 – $13.562 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$8.601 plan——
Virginia Mason Medical CenterSeattle$14.06 – $36.909 plans$23.53$46.13
Yakima Valley MemorialYakimaFile dated 2026-08-27$16.561 plan——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.