HCPCS J1807

Injection, ethacrynate sodium, 1 mg

Current code23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J1807 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
PeaceHealth Peace Island Medical CenterFriday Harbor	$6,305 – $6,9367 plans	$1,048 – $3,001	$1,612 – $4,618
PeaceHealth Southwest Medical CenteVancouver	—	$1,048 – $3,001	$1,612 – $4,618
PeaceHealth St John Medical CenterLongview	—	$1,048 – $3,001	$1,612 – $4,618
PeaceHealth St Joseph Medical CenterBellingham	—	$1,048 – $3,001	$1,612 – $4,618
PeaceHealth United General Medical CenterSedro Woolley	$3,312 – $3,6437 plans	$1,048 – $3,001	$1,612 – $4,618
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$1,458 – $13,130	$2,083 – $18,758
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$1,458 – $13,130	$2,083 – $18,758
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$1,296 – $13,130	$1,852 – $18,758
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$1,458 – $13,130	$2,083 – $18,758
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$1,578	$3,035
Virginia Mason Medical CenterSeattle	—	$20.77	$40.72

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): $9.94 (APC 0883)
Surgery center payment (national): $9.94