HCPCS J1364
Injection, erythromycin lactobionate, per 500 mg
Current code34 hospitals with prices
What Washington hospitals publish for this code
Unknown: The source file doesn't say which population this rate applies to.
| Hospital | Unknown rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $46.98 – $134 | $117 – $335 |
| Deaconess Medical Center | — | $102 – $183 | $255 – $458 |
| EvergreenHealth Medical Center | $1,000 – $1,486 | $889 – $1,321 | $1,111 – $1,651 |
| Harborview Medical Center | — | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $78.98 – $281 | $113 – $402 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $35.72 – $39.40 | $89.30 – $98.50 |
| MultiCare Auburn Medical Center | — | $82.02 | $205 |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | $82.02 | $205 |
| MultiCare Valley Hospital | — | $183 | $458 |
| Olympic Medical Center | $149 – $153 | $122 | $153 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $230 | $354 |
| PeaceHealth Southwest Medical Cente | $29.63 | $230 | $354 |
| PeaceHealth St John Medical Center | — | $230 | $354 |
| PeaceHealth St Joseph Medical Center | — | $230 | $354 |
| PeaceHealth United General Medical Center | — | $230 | $354 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | $112 – $298 | $215 – $574 |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $412 – $530 | $588 – $757 |
| Providence St Peter Hospital | — | $298 – $326 | $574 – $628 |
| Seattle Children's Hospital | $1,174 – $1,201 | $1,334 | $1,334 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $82.02 – $134 | $205 – $335 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | — | $82.02 | $205 |
Medicare (traditional) reference
CMS publishes no national amount for this code.