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

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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$63.621 plan$95.28$119
Cascade Valley HospitalArlington—$168$210
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$94.88 – $125$237 – $312
EvergreenHealth Medical CenterKirkland—$222 – $255$278 – $319
EvergreenHealth MonroeMonroe—$168$210
Highline Medical CenterBurienFile dated 2026-02-28—$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—$35.94 – $49.46$89.85 – $124
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$62.00 – $89.16$155 – $223
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$66.06 – $89.18$165 – $223
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$94.88 – $125$237 – $312
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$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$38.40 – $84.611 plan$152 – $336$152 – $336
Skagit Valley HospitalMount Vernon—$168$210
St Anthony HospitalGig HarborFile dated 2026-02-28—$68.48$225
St Clare HospitalLakewoodFile dated 2026-02-28—$64.90$225
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$79.56$225
St Francis Community HospitalFederal WayFile dated 2026-02-28—$70.66$225
St Joseph Medical CenterTacomaFile dated 2026-02-28—$74.57$225
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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—$59.60 – $89.18$149 – $223
Virginia Mason Medical CenterSeattle—$21.83 – $27.01$42.80 – $52.97
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.