HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Current code41 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 J1742 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$319 – $3392 plans$160$399
EvergreenHealth Medical CenterKirkland$70.40 – $3,19525 plans$2,748$3,435
Highline Medical CenterBurienFile dated 2026-02-28$572 – $1,1986 plans$406$1,331
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$319 – $892$456 – $1,274
Olympic Medical CenterPort AngelesFile dated 2026-06-24$264 – $4726 plans$378$472
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$34.33 – $136$68.66 – $273
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$731 – $781$1,044 – $1,116
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,039$1,998
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$731 – $781$1,044 – $1,116
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,039$1,998
St Anthony HospitalGig HarborFile dated 2026-02-28$732 – $9984 plans$405$1,331
St Clare HospitalLakewoodFile dated 2026-02-28$732 – $9984 plans$384$1,331
St Elizabeth HospitalEnumclawFile dated 2026-02-28$479 – $1,1989 plans$470$1,331
St Francis Community HospitalFederal WayFile dated 2026-02-28$732 – $9984 plans$418$1,331
St Joseph Medical CenterTacomaFile dated 2026-02-28$732 – $9984 plans$441$1,331
St Michael Medical CenterSilverdaleFile dated 2026-02-28$838 – $1,19810 plans$587$1,331
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$224$467
Swedish IssaquahIssaquahFile dated 2026-04-01—$224$467
Swedish Medical CenterSeattleFile dated 2026-04-01—$224$467
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$224$467
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$236 – $2923 plans$160$401

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$129 (APC 9044)
Surgery center payment (national)
$129