HCPCS J1921
Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg
Current code35 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 | — | — | — |
| Cascade Valley Hospital | $184 – $283 | $4.02 – $8.11 | $5.02 – $10.14 |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $81.26 – $406 | $266 – $1,331 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $158 – $159 | $225 – $227 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Skagit Valley Hospital | — | $4.02 – $8.11 | $5.02 – $10.14 |
| St Anthony Hospital | — | $80.94 – $405 | $266 – $1,331 |
| St Clare Hospital | — | $76.71 – $384 | $266 – $1,331 |
| St Elizabeth Hospital | $47.90 – $293 | $94.04 – $470 | $266 – $1,331 |
| St Francis Community Hospital | — | $83.51 – $418 | $266 – $1,331 |
| St Joseph Medical Center | — | $88.14 – $441 | $266 – $1,331 |
| St Michael Medical Center | — | $117 – $587 | $266 – $1,331 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.