HCPCS J1955
Injection, levocarnitine, per 1 gm
Current code42 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $48.35 – $152 | — | — |
| Deaconess Medical Center | $44.15 – $78.99 | — | — |
| EvergreenHealth Medical Center | $30.22 – $312 | $198 – $269 | $247 – $336 |
| EvergreenHealth Monroe | $212 – $312 | $269 | $336 |
| Harborview Medical Center | $38.44 | — | — |
| Highline Medical Center | $55.70 – $533 | $181 | $592 |
| Island Hospital | $23.27 | — | — |
| Kadlec Regional Medical Center | $31.74 – $97.13 | $81.38 – $146 | $116 – $209 |
| Legacy Salmon Creek Medical Center | $37.18 – $56.66 | — | — |
| Mary Bridge Children's Hospital | $48.35 – $148 | — | — |
| MultiCare Auburn Medical Center | $48.35 – $88.45 | — | — |
| MultiCare Covington Medical Center | $48.35 – $88.45 | — | — |
| MultiCare Good Samaritan Hospital | $48.35 – $88.45 | — | — |
| MultiCare Valley Hospital | $44.15 – $200 | $78.27 – $111 | $196 – $278 |
| Olympic Medical Center | $137 – $244 | $195 | $244 |
| Overlake Hospital Medical Center & Clinics | $46.01 – $76.64 | $38.31 | $76.62 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $38.96 – $56.24 | $397 – $678 | $567 – $968 |
| Providence Centralia Hospital | $70.86 – $156 | $143 | $276 |
| Providence Holy Family Hospital | $38.96 – $56.24 | $397 – $678 | $567 – $968 |
| Providence Regional Medical Center Everett | $38.96 – $56.24 | $58.54 | $113 |
| Providence St Mary Medical Center | $56.24 – $189 | — | — |
| Providence St Peter Hospital | $45.08 – $58.49 | $157 – $179 | $302 – $345 |
| Seattle Children's Hospital | $152 – $271 | $282 | $282 |
| St Anthony Hospital | $50.05 – $444 | $180 | $592 |
| St Clare Hospital | $50.05 – $444 | $171 | $592 |
| St Elizabeth Hospital | $35.34 – $533 | $209 | $592 |
| St Francis Community Hospital | $50.05 – $444 | $186 | $592 |
| St Joseph Medical Center | $50.05 – $444 | $196 | $592 |
| St Michael Medical Center | $59.04 – $533 | $261 | $592 |
| Swedish Edmonds Hospital | $38.96 – $48.58 | $99.02 – $139 | $206 – $290 |
| Swedish Issaquah | $38.96 – $48.58 | $99.02 – $139 | $206 – $290 |
| Swedish Medical Center | $38.96 – $45.08 | $55.14 – $139 | $115 – $290 |
| Swedish Medical Center / Cherry Hill | $38.96 – $45.08 | $99.02 – $139 | $206 – $290 |
| Tacoma General Allenmore Hospital | $48.35 – $88.45 | — | — |
| University of Washington Medical Ctr | $38.44 | — | — |
| Virginia Mason Medical Center | $41.98 – $80.39 | $35.88 | $70.35 |
| Yakima Valley Memorial | $54.75 – $58.79 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.