HCPCS J1250

Injection, dobutamine hydrochloride, per 250 mg

Current codeInjection - Vasodilator48 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.

Prices for HCPCS J1250 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$34.20$85.50
Cascade Valley HospitalArlington$17.99 – $2001 plan$14.39 – $160$17.99 – $200
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$19.16 – $61.70$47.88 – $154
EvergreenHealth Medical CenterKirkland—$58.40 – $224$73.00 – $280
EvergreenHealth MonroeMonroe—$58.40 – $224$73.00 – $280
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$53.93 – $119$177 – $390
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61 – $97.94$49.44 – $140
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$36.69 – $53.72$91.73 – $134
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$39.20 – $43.90$98.00 – $110
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$44.00$110
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$32.45 – $44.40$81.10 – $111
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$62.22$156
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$64.10 – $156$80.12 – $195
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$9.75 – $44.88$19.50 – $89.75
PeaceHealth Peace Island Medical CenterFriday Harbor—$118 – $131$182 – $202
PeaceHealth Southwest Medical CenteVancouver—$118 – $131$182 – $202
PeaceHealth St John Medical CenterLongview—$118 – $133$182 – $204
PeaceHealth St Joseph Medical CenterBellingham—$118 – $131$182 – $202
PeaceHealth United General Medical CenterSedro Woolley—$118 – $131$182 – $202
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $386$101 – $552
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$63.91 – $93.35$123 – $180
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $386$101 – $552
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $286$101 – $409
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$75.89 – $95.38$146 – $183
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $286$101 – $409
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00 – $98.29$42.86 – $140
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$64.15 – $192$123 – $369
Seattle Children's HospitalSeattle$26.76 – $10112 plans$104 – $310$104 – $310
Skagit Valley HospitalMount Vernon—$14.39 – $160$17.99 – $200
St Anthony HospitalGig HarborFile dated 2026-02-28—$53.72 – $119$177 – $390
St Clare HospitalLakewoodFile dated 2026-02-28—$50.91 – $112$177 – $390
St Elizabeth HospitalEnumclawFile dated 2026-02-28$30.03 – $80.795 plans$62.41 – $138$177 – $390
St Francis Community HospitalFederal WayFile dated 2026-02-28—$55.43 – $122$177 – $390
St Joseph Medical CenterTacomaFile dated 2026-02-28—$58.49 – $129$177 – $390
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$77.95 – $172$177 – $390
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04 – $100$75.08 – $208
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04 – $55.69$75.08 – $116
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04 – $74.16$75.08 – $154
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04 – $74.16$75.08 – $154
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$24.00 – $44.40$60.00 – $111
Three Rivers HospitalBrewster$31.661 plan$45.22$45.22
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$1.14 – $17.84$2.23 – $34.98
Yakima Valley MemorialYakimaFile dated 2026-08-27—$21.82 – $52.20$54.55 – $131

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.