HCPCS J0743
Injection, cilastatin sodium; imipenem, per 250 mg
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) |
|---|---|---|---|
| EvergreenHealth Medical Center | — | $154 – $4,195 | $192 – $5,244 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $47.05 – $269 | $154 – $880 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $40.12 | $57.31 |
| Legacy Salmon Creek Medical Center | — | $10.40 | $16.00 |
| Overlake Hospital Medical Center & Clinics | — | $16.90 – $16.91 | $33.79 – $33.82 |
| PeaceHealth Peace Island Medical Center | — | $133 – $133 | $205 – $205 |
| PeaceHealth Southwest Medical Cente | — | $133 – $133 | $205 – $205 |
| PeaceHealth St John Medical Center | — | $133 – $133 | $205 – $205 |
| PeaceHealth St Joseph Medical Center | — | $133 – $134 | $205 – $205 |
| PeaceHealth United General Medical Center | — | $133 – $133 | $205 – $205 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $102 – $109 | $146 – $156 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $102 – $109 | $146 – $156 |
| Providence Mount Carmel Hospital | — | $100 – $339 | $143 – $485 |
| Providence Regional Medical Center Everett | — | $45.77 – $71.45 | $88.02 – $137 |
| Providence St Joseph Hospital | — | $102 – $109 | $146 – $156 |
| Providence St Mary Medical Center | — | $56.27 – $188 | $80.38 – $269 |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | — | $245 | $245 |
| St Anthony Hospital | — | $46.86 – $268 | $154 – $880 |
| St Clare Hospital | — | $44.41 – $254 | $154 – $880 |
| St Elizabeth Hospital | $26.19 – $182 | $54.44 – $311 | $154 – $880 |
| St Francis Community Hospital | — | $48.35 – $276 | $154 – $880 |
| St Joseph Medical Center | — | $51.03 – $291 | $154 – $880 |
| St Michael Medical Center | — | $67.99 – $388 | $154 – $880 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $23.53 | $46.13 |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.