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

HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Current code39 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$109 – $185$272 – $463
EvergreenHealth Medical CenterKirkland—$301$376
Highline Medical CenterBurienFile dated 2026-02-28—$465 – $488$1,522 – $1,599
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$119 – $362$170 – $517
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$39.64 – $352$99.10 – $881
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$53.38 – $76.76$133 – $192
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$53.29 – $76.78$133 – $192
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$78.40 – $109$196 – $271
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$210$262
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$21.02 – $55.39$42.04 – $111
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$322 – $829$461 – $1,184
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$198$381
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$322 – $829$461 – $1,184
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$134$258
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$216 – $290$308 – $415
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$168 – $215$324 – $414
Seattle Children's HospitalSeattle$510 – $65012 plans$1,985 – $2,001$1,985 – $2,001
St Anthony HospitalGig HarborFile dated 2026-02-28—$463 – $486$1,522 – $1,599
St Clare HospitalLakewoodFile dated 2026-02-28—$439 – $461$1,522 – $1,599
St Elizabeth HospitalEnumclawFile dated 2026-02-28$426 – $5305 plans$538 – $565$1,522 – $1,599
St Francis Community HospitalFederal WayFile dated 2026-02-28—$478 – $502$1,522 – $1,599
St Joseph Medical CenterTacomaFile dated 2026-02-28—$504 – $530$1,522 – $1,599
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$672 – $706$1,522 – $1,599
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$80.51$168
Swedish IssaquahIssaquahFile dated 2026-04-01—$108$226
Swedish Medical CenterSeattleFile dated 2026-04-01—$80.51 – $108$168 – $226
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$108 – $254$226 – $530
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$35.62 – $289$89.05 – $722
Virginia Mason Medical CenterSeattle—$196$384
Yakima Valley MemorialYakimaFile dated 2026-08-27—$53.38 – $584$133 – $1,459

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.