HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Current codeInjection - Anticoagulant38 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 J1652 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$4.61$11.52
EvergreenHealth Medical CenterKirkland—$179 – $416$224 – $520
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$169 – $217$552 – $711
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61 – $215$49.44 – $307
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$4.56 – $4.61$11.40 – $11.52
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$2.10 – $8.30$5.25 – $20.73
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$61.31 – $377$76.64 – $472
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$7.62 – $80.33$15.23 – $161
PeaceHealth Peace Island Medical CenterFriday Harbor—$46.83 – $210$72.04 – $324
PeaceHealth Southwest Medical CenteVancouver—$46.83 – $210$72.04 – $324
PeaceHealth St John Medical CenterLongview—$46.83 – $210$72.04 – $324
PeaceHealth St Joseph Medical CenterBellingham—$46.83 – $210$72.04 – $324
PeaceHealth United General Medical CenterSedro Woolley—$46.83 – $210$72.04 – $324
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$102 – $596$146 – $851
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$62.11 – $295$119 – $568
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$102 – $596$146 – $851
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$81.14 – $604$116 – $864
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$43.72 – $397$84.08 – $763
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$81.14 – $604$116 – $864
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$44.75 – $192$63.93 – $275
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$63.37 – $394$122 – $757
Seattle Children's HospitalSeattle—$428$428
St Anthony HospitalGig HarborFile dated 2026-02-28—$168 – $216$552 – $711
St Clare HospitalLakewoodFile dated 2026-02-28—$159 – $205$552 – $711
St Elizabeth HospitalEnumclawFile dated 2026-02-28$93.90 – $1475 plans$195 – $251$552 – $711
St Francis Community HospitalFederal WayFile dated 2026-02-28—$173 – $223$552 – $711
St Joseph Medical CenterTacomaFile dated 2026-02-28—$183 – $236$552 – $711
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$244 – $314$552 – $711
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04 – $82.49$75.08 – $172
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04 – $92.69$75.08 – $193
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04 – $92.69$75.08 – $193
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04 – $92.69$75.08 – $193
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$2.10 – $4.61$5.25 – $11.52
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$2.65 – $4.95$5.19 – $9.70
Yakima Valley MemorialYakimaFile dated 2026-08-27—$5.50 – $8.30$13.73 – $20.73

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.