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HCPCS J1050

Injection, medroxyprogesterone acetate, 1 mg

Current code35 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$64.32 – $93.807 plans$134$134
Cascade Medical CenterLeavenworth$1371 plan$174$218
Cascade Valley HospitalArlington$15.43 – $3,3128 plans$145 – $240$182 – $300
Deaconess Medical CenterSpokaneFile dated 2026-08-27——$1.08
Harborview Medical CenterSeattleFile dated 2026-04-01$1.381 plan——
Island HospitalAnacortes$4.72 – $21613 plans$59.00 – $227$59.00 – $227
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.50 – $1.902 plans$34.61 – $111$49.44 – $158
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1.221 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27——$1.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24$103 – $1856 plans$148$185
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1.06 – $1.133 plans$30.54$61.07
PeaceHealth Peace Island Medical CenterFriday Harbor—$54.82 – $115$84.34 – $176
PeaceHealth Southwest Medical CenteVancouver—$54.82 – $115$84.34 – $176
PeaceHealth St John Medical CenterLongview—$54.82 – $115$84.34 – $176
PeaceHealth St Joseph Medical CenterBellingham—$54.82 – $115$84.34 – $176
PeaceHealth United General Medical CenterSedro Woolley—$54.82 – $115$84.34 – $176
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1.101 plan$253 – $537$361 – $767
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.39 – $1.903 plans$91.58$176
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1.101 plan$253 – $537$361 – $767
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$89.15 – $537$127 – $767
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1.102 plans$48.81$93.86
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$89.15 – $537$127 – $767
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1.101 plan$183 – $274$262 – $391
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1.141 plan$156$301
Seattle Children's HospitalSeattle$267 – $47598 plans$495$495
Skagit Valley HospitalMount Vernon$3.98 – $285at least 7 plans$4.00 – $240$5.00 – $300
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$69.45$145
Swedish IssaquahIssaquahFile dated 2026-04-01—$69.45$145
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04 – $186$75.08 – $388
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$69.45$145
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27——$1.22
Three Rivers HospitalBrewster—$391$391
University of Washington Medical CtrSeattleFile dated 2026-04-01$1.381 plan——
Virginia Mason Medical CenterSeattle$1.00 – $1.144 plans—$1.35
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.00 – $2.266 plans$1.06$1.22 – $2.64

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.