HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Current codeInjection - Enzymes45 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.

Prices for HCPCS J1120 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$74.68 – $1192 plans$95.28$119
Cascade Valley HospitalArlington$17.82 – $1,8008 plans$168$210
Deaconess Medical CenterSpokaneFile dated 2026-08-27$168 – $2282 plans$94.88 – $125$237 – $312
EvergreenHealth Medical CenterKirkland$23.93 – $2977 plans$222 – $255$278 – $319
EvergreenHealth MonroeMonroe$132 – $19512 plans$168$210
Highline Medical CenterBurienFile dated 2026-02-28$96.82 – $2036 plans$68.76$225
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$46.56 – $150$66.51 – $215
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$58.76 – $98.926 plans$35.94 – $49.46$89.85 – $124
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$91.45 – $1633 plans$62.00 – $89.16$155 – $223
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$97.44 – $1633 plans$66.06 – $89.18$165 – $223
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$171 – $2252 plans$94.88 – $125$237 – $312
Olympic Medical CenterPort AngelesFile dated 2026-06-24$96.71 – $1736 plans$138$173
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$9.28 – $23.99$18.56 – $47.98
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$250 – $408$357 – $583
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$162$311
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$250 – $408$357 – $583
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$250 – $408$357 – $583
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$250 – $325$357 – $464
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$167 – $273$239 – $390
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$149 – $191$286 – $368
Seattle Children's HospitalSeattle$82.30 – $32298 plans$152 – $336$152 – $336
Skagit Valley HospitalMount Vernon$30.25 – $1997 plans$168$210
St Anthony HospitalGig HarborFile dated 2026-02-28$124 – $1694 plans$68.48$225
St Clare HospitalLakewoodFile dated 2026-02-28$124 – $1694 plans$64.90$225
St Elizabeth HospitalEnumclawFile dated 2026-02-28$81.06 – $2039 plans$79.56$225
St Francis Community HospitalFederal WayFile dated 2026-02-28$124 – $1694 plans$70.66$225
St Joseph Medical CenterTacomaFile dated 2026-02-28$124 – $1694 plans$74.57$225
St Michael Medical CenterSilverdaleFile dated 2026-02-28$142 – $20310 plans$99.37$225
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$62.42 – $102$130 – $212
Swedish IssaquahIssaquahFile dated 2026-04-01—$74.51$155
Swedish Medical CenterSeattleFile dated 2026-04-01—$62.42 – $102$130 – $212
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$62.42 – $102$130 – $212
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$87.91 – $1633 plans$59.60 – $89.18$149 – $223
Virginia Mason Medical CenterSeattle$27.41 – $42.384 plans$21.83 – $27.01$42.80 – $52.97
Yakima Valley MemorialYakimaFile dated 2026-08-27$50.04 – $1251 plan$35.74 – $89.18$89.35 – $223

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.