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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J1921 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	$5.02 – $10.141 plan	$4.02 – $8.11	$5.02 – $10.14
Highline Medical CenterBurienFile dated 2026-02-28	—	$81.26 – $406	$266 – $1,331
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$158 – $159	$225 – $227
Skagit Valley HospitalMount Vernon	—	$4.02 – $8.11	$5.02 – $10.14
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$80.94 – $405	$266 – $1,331
St Clare HospitalLakewoodFile dated 2026-02-28	—	$76.71 – $384	$266 – $1,331
St Elizabeth HospitalEnumclawFile dated 2026-02-28	$74.51 – $4415 plans	$94.04 – $470	$266 – $1,331
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$83.51 – $418	$266 – $1,331
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$88.14 – $441	$266 – $1,331
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$117 – $587	$266 – $1,331

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

CMS publishes no national amount for this code.