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Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland—$154 – $4,195$192 – $5,244
Highline Medical CenterBurienFile dated 2026-02-28—$47.05 – $269$154 – $880
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$40.12$57.31
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$10.40$16.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$16.90 – $16.91$33.79 – $33.82
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$102 – $109$146 – $156
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$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—$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—$56.27 – $188$80.38 – $269
Seattle Children's HospitalSeattle$1001 plan$245$245
St Anthony HospitalGig HarborFile dated 2026-02-28—$46.86 – $268$154 – $880
St Clare HospitalLakewoodFile dated 2026-02-28—$44.41 – $254$154 – $880
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$54.44 – $311$154 – $880
St Francis Community HospitalFederal WayFile dated 2026-02-28—$48.35 – $276$154 – $880
St Joseph Medical CenterTacomaFile dated 2026-02-28—$51.03 – $291$154 – $880
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$67.99 – $388$154 – $880
Virginia Mason Medical CenterSeattle—$23.53$46.13

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.