HCPCS J1921

Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg

Current code35 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 J1921 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.92 – $4.096 plans——
Cascade Valley HospitalArlington$3.64 – $2837 plans$4.02 – $8.11$5.02 – $10.14
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4.09 – $12.132 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2.961 plan——
Highline Medical CenterBurienFile dated 2026-02-28$114 – $1,1975 plans$81.26 – $406$266 – $1,331
Island HospitalAnacortes$1.092 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2.55 – $5.245 plans$158 – $159$225 – $227
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2.18 – $3.314 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$4.09 – $21.393 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2.56 – $12.597 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2.56 – $12.597 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$4.09 – $12.592 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3.20 – $12.103 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2.57 – $6.276 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1.36 – $3.206 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2.13 – $8.848 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1.36 – $3.206 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1.36 – $3.046 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2.13 – $13.186 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2.13 – $3.416 plans——
Skagit Valley HospitalMount Vernon$1.24 – $9.637 plans$4.02 – $8.11$5.02 – $10.14
St Anthony HospitalGig HarborFile dated 2026-02-28$133 – $9983 plans$80.94 – $405$266 – $1,331
St Clare HospitalLakewoodFile dated 2026-02-28$133 – $9983 plans$76.71 – $384$266 – $1,331
St Elizabeth HospitalEnumclawFile dated 2026-02-28$88.62 – $1,1976 plans$94.04 – $470$266 – $1,331
St Francis Community HospitalFederal WayFile dated 2026-02-28$133 – $9983 plans$83.51 – $418$266 – $1,331
St Joseph Medical CenterTacomaFile dated 2026-02-28$133 – $9983 plans$88.14 – $441$266 – $1,331
St Michael Medical CenterSilverdaleFile dated 2026-02-28$170 – $1,19710 plans$117 – $587$266 – $1,331
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1.36 – $4.608 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1.36 – $4.477 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1.36 – $5.8512 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1.36 – $5.856 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2.56 – $12.597 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2.96 – $3.414 plans——
Virginia Mason Medical CenterSeattle$1.63 – $8.064 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$3.17 – $5.336 plans——

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.