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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

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)
BHC Fairfax HospitalKirkland—$134$134
Cascade Medical CenterLeavenworth$1.00 – $194at least 2 plans$60.00 – $174$75.00 – $218
Cascade Valley HospitalArlington—$145 – $240$182 – $300
Deaconess Medical CenterSpokaneFile dated 2026-08-27——$1.08
Island HospitalAnacortes$26.60 – $2253 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—$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$2031 plan$495$495
Skagit Valley HospitalMount Vernon—$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——$1.35
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.