HCPCS J1630

Injection, haloperidol, up to 5 mg

Current code51 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J1630 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$11.201 plan$16.00$16.00
Capital Medical CenterOlympiaFile dated 2026-08-27$28.89 – $65.542 plans$15.84 – $30.84$39.58 – $77.10
Cascade Valley HospitalArlington$1.36 – $3338 plans$2.02 – $12.77$2.52 – $15.96
Deaconess Medical CenterSpokaneFile dated 2026-08-27$44.81 – $89.755 plans$48.25 – $49.18$121 – $123
EvergreenHealth Medical CenterKirkland$6.40 – $18.606 plans$16.00$20.00
EvergreenHealth MonroeMonroe$28.98 – $42.7812 plans$36.80$46.00
Harborview Medical CenterSeattleFile dated 2026-04-01$1.351 plan——
Highline Medical CenterBurienFile dated 2026-02-28$6.65 – $69.395 plans$4.72 – $23.55$15.45 – $77.10
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.43 – $4.604 plans$34.61$49.44
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1.26 – $1.924 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$58.81 – $74.116 plans$36.42$91.05
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$28.89 – $56.282 plans$15.84 – $30.84$39.58 – $77.10
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$56.282 plans$30.84$77.09 – $77.10
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$28.89 – $56.282 plans$15.83 – $30.84$39.57 – $77.10
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$23.29 – $88.345 plans$25.08 – $49.08$62.70 – $123
Olympic Medical CenterPort AngelesFile dated 2026-06-24$27.15 – $48.586 plans$38.86$48.58
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2.25 – $2.403 plans$5.52 – $60.04$11.03 – $120
PeaceHealth Peace Island Medical CenterFriday Harbor—$39.01 – $52.78$60.02 – $81.20
PeaceHealth Southwest Medical CenteVancouver$1.131 plan$39.01 – $52.78$60.02 – $81.20
PeaceHealth St John Medical CenterLongview$1.271 plan$39.01 – $52.78$60.02 – $81.20
PeaceHealth St Joseph Medical CenterBellingham$1.261 plan$39.01 – $52.78$60.02 – $81.20
PeaceHealth United General Medical CenterSedro Woolley—$39.01 – $52.78$60.02 – $81.20
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1.43 – $2.663 plans$70.66$101
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3.35 – $4.964 plans$41.36$79.54
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1.43 – $2.663 plans$70.66$101
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66$101
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1.43 – $2.664 plans$38.21 – $38.54$73.48 – $74.12
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66$101
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2.66 – $7.142 plans$30.00$42.86
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1.43 – $2.772 plans$41.36 – $42.29$79.54 – $81.32
Seattle Children's HospitalSeattle$10.80 – $19.2098 plans$20.00$20.00
Skagit Valley HospitalMount Vernon$1.02 – $15.167 plans$2.02 – $12.77$2.52 – $15.96
St Anthony HospitalGig HarborFile dated 2026-02-28$7.73 – $57.833 plans$4.70 – $23.45$15.45 – $77.10
St Clare HospitalLakewoodFile dated 2026-02-28$7.73 – $57.833 plans$4.46 – $22.23$15.45 – $77.10
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1.31 – $69.398 plans$5.46 – $27.25$15.45 – $77.10
St Francis Community HospitalFederal WayFile dated 2026-02-28$7.73 – $57.833 plans$4.85 – $24.20$15.45 – $77.10
St Joseph Medical CenterTacomaFile dated 2026-02-28$7.73 – $57.833 plans$5.12 – $25.54$15.45 – $77.10
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1.88 – $69.3910 plans$6.82 – $34.03$15.45 – $77.10
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1.43 – $1.674 plans$36.04$75.08
Swedish IssaquahIssaquahFile dated 2026-04-01$1.43 – $1.673 plans$36.04$75.08
Swedish Medical CenterSeattleFile dated 2026-04-01$1.43 – $1.522 plans$36.04$75.08
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1.43 – $1.522 plans$36.04$75.08
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$19.76 – $56.282 plans$10.83 – $30.84$27.07 – $77.10
Three Rivers HospitalBrewster—$50.33$50.33
University of Washington Medical CtrSeattleFile dated 2026-04-01$1.351 plan——
Virginia Mason Medical CenterSeattle$1.78 – $2.669 plans$1.70$3.33
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$2.10$1.83 – $5.23
WhidbeyHealth Medical CenterCoupeville—$35.00$35.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$2.78 – $66.077 plans$15.84 – $30.84$39.58 – $77.10

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.