HCPCS J1742
Injection, ibutilide fumarate, 1 mg
Current code41 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $215 – $236 | $160 | $399 |
| Deaconess Medical Center | $215 – $236 | — | — |
| EvergreenHealth Medical Center | $72.51 – $73.92 | $2,748 | $3,435 |
| Harborview Medical Center | $172 – $190 | — | — |
| Highline Medical Center | $244 – $280 | $406 | $1,331 |
| Island Hospital | $201 – $213 | — | — |
| Kadlec Regional Medical Center | $219 – $263 | $319 – $892 | $456 – $1,274 |
| Legacy Salmon Creek Medical Center | $226 – $246 | — | — |
| Mary Bridge Children's Hospital | $215 – $236 | — | — |
| MultiCare Auburn Medical Center | $215 – $236 | — | — |
| MultiCare Covington Medical Center | $215 – $236 | — | — |
| MultiCare Good Samaritan Hospital | $215 – $236 | — | — |
| MultiCare Valley Hospital | $221 – $236 | — | — |
| Olympic Medical Center | $211 – $272 | $378 | $472 |
| Overlake Hospital Medical Center & Clinics | $219 – $228 | $34.33 – $136 | $68.66 – $273 |
| PeaceHealth Peace Island Medical Center | — | $213 – $626 | $328 – $963 |
| PeaceHealth Southwest Medical Cente | $199 – $228 | $213 – $626 | $328 – $963 |
| PeaceHealth St John Medical Center | $155 – $218 | $213 – $626 | $328 – $963 |
| PeaceHealth St Joseph Medical Center | $199 – $218 | $213 – $626 | $328 – $963 |
| PeaceHealth United General Medical Center | — | $213 – $626 | $328 – $963 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $219 – $263 | $731 – $781 | $1,044 – $1,116 |
| Providence Centralia Hospital | $219 – $351 | $1,039 | $1,998 |
| Providence Holy Family Hospital | $219 – $241 | $731 – $781 | $1,044 – $1,116 |
| Providence Regional Medical Center Everett | $219 – $241 | — | — |
| Providence St Mary Medical Center | $219 – $241 | — | — |
| Providence St Peter Hospital | $219 – $351 | $1,039 | $1,998 |
| St Anthony Hospital | $248 – $286 | $405 | $1,331 |
| St Clare Hospital | $212 – $243 | $384 | $1,331 |
| St Elizabeth Hospital | $240 – $293 | $470 | $1,331 |
| St Francis Community Hospital | $244 – $280 | $418 | $1,331 |
| St Joseph Medical Center | $248 – $298 | $441 | $1,331 |
| St Michael Medical Center | $255 – $300 | $587 | $1,331 |
| Swedish Edmonds Hospital | $219 – $263 | $224 | $467 |
| Swedish Issaquah | $219 – $263 | $224 | $467 |
| Swedish Medical Center | $219 – $263 | $224 | $467 |
| Swedish Medical Center / Cherry Hill | $219 – $263 | $224 | $467 |
| Tacoma General Allenmore Hospital | $215 – $236 | $160 | $401 |
| University of Washington Medical Ctr | $172 – $190 | — | — |
| Virginia Mason Medical Center | $121 – $181 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $215 – $241 | — | — |
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