HCPCS J1205
Injection, chlorothiazide sodium, per 500 mg
Current code39 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Deaconess Medical Center | $101 – $338 | $109 – $185 | $272 – $463 |
| EvergreenHealth Medical Center | $40.51 – $350 | $301 | $376 |
| Harborview Medical Center | $83.25 | — | — |
| Highline Medical Center | $655 – $1,439 | $465 – $488 | $1,522 – $1,599 |
| Island Hospital | $58.13 | — | — |
| Kadlec Regional Medical Center | $60.05 – $230 | $119 – $362 | $170 – $517 |
| Legacy Salmon Creek Medical Center | $62.13 – $94.68 | — | — |
| Mary Bridge Children's Hospital | $64.01 – $717 | $39.64 – $352 | $99.10 – $881 |
| MultiCare Auburn Medical Center | $97.42 – $140 | $53.38 – $76.76 | $133 – $192 |
| MultiCare Good Samaritan Hospital | $97.24 – $140 | $53.29 – $76.78 | $133 – $192 |
| MultiCare Valley Hospital | $72.81 – $195 | $78.40 – $109 | $196 – $271 |
| Olympic Medical Center | $147 – $262 | $210 | $262 |
| Overlake Hospital Medical Center & Clinics | $112 – $120 | $21.02 – $55.39 | $42.04 – $111 |
| PeaceHealth Peace Island Medical Center | — | $89.57 – $232 | $138 – $357 |
| PeaceHealth Southwest Medical Cente | $90.10 | $89.57 – $232 | $138 – $357 |
| PeaceHealth St John Medical Center | $101 | $89.57 – $232 | $138 – $357 |
| PeaceHealth St Joseph Medical Center | $101 | $89.57 – $232 | $138 – $357 |
| PeaceHealth United General Medical Center | — | $89.57 – $232 | $138 – $357 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $60.05 – $133 | $322 – $829 | $461 – $1,184 |
| Providence Centralia Hospital | $168 – $230 | $198 | $381 |
| Providence Holy Family Hospital | $60.05 – $133 | $322 – $829 | $461 – $1,184 |
| Providence Regional Medical Center Everett | $60.05 – $133 | $134 | $258 |
| Providence St Mary Medical Center | $133 – $394 | $216 – $290 | $308 – $415 |
| Providence St Peter Hospital | $60.05 – $138 | $168 – $215 | $324 – $414 |
| Seattle Children's Hospital | $1,072 – $1,921 | $1,985 – $2,001 | $1,985 – $2,001 |
| St Anthony Hospital | $761 – $1,199 | $463 – $486 | $1,522 – $1,599 |
| St Clare Hospital | $761 – $1,199 | $439 – $461 | $1,522 – $1,599 |
| St Elizabeth Hospital | $50.87 – $1,439 | $538 – $565 | $1,522 – $1,599 |
| St Francis Community Hospital | $761 – $1,199 | $478 – $502 | $1,522 – $1,599 |
| St Joseph Medical Center | $761 – $1,199 | $504 – $530 | $1,522 – $1,599 |
| St Michael Medical Center | $128 – $1,439 | $672 – $706 | $1,522 – $1,599 |
| Swedish Edmonds Hospital | $60.05 – $80.76 | $80.51 | $168 |
| Swedish Issaquah | $60.05 – $80.76 | $108 | $226 |
| Swedish Medical Center | $60.05 – $67.73 | $80.51 – $108 | $168 – $226 |
| Swedish Medical Center / Cherry Hill | $60.05 – $67.73 | $108 – $254 | $226 – $530 |
| Tacoma General Allenmore Hospital | $65.01 – $527 | $35.62 – $289 | $89.05 – $722 |
| University of Washington Medical Ctr | $83.25 | — | — |
| Virginia Mason Medical Center | $105 – $379 | $196 | $384 |
| Yakima Valley Memorial | $65.39 – $1,251 | $53.38 – $584 | $133 – $1,459 |
Medicare (traditional) reference
CMS publishes no national amount for this code.