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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$47.02 – $137at least 2 plans$60.00 – $174$75.00 – $218
Cascade Valley HospitalArlington$15.43 – $3,3128 plans$145 – $240$182 – $300
Deaconess Medical CenterSpokaneFile dated 2026-08-27——$1.08
Island HospitalAnacortes$4.72 – $21613 plans$59.00 – $227$59.00 – $227
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61 – $111$49.44 – $158
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—$30.54$61.07
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$253 – $537$361 – $767
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$91.58$176
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$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—$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—$183 – $274$262 – $391
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$156$301
Seattle Children's HospitalSeattle$267 – $47598 plans$495$495
Skagit Valley HospitalMount Vernon$26.20 – $2857 plans$145 – $240$182 – $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
Virginia Mason Medical CenterSeattle$1.081 plan—$1.35
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.481 plan$1.06$1.22 – $2.64

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.