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) |
|---|---|---|---|
| EvergreenHealth Medical Center | $30.22 – $312 | $198 – $269 | $247 – $336 |
| EvergreenHealth Monroe | $212 – $312 | $269 | $336 |
| Highline Medical Center | $255 – $533 | $181 | $592 |
| Kadlec Regional Medical Center | — | $81.38 – $146 | $116 – $209 |
| MultiCare Valley Hospital | $141 – $200 | $78.27 – $111 | $196 – $278 |
| Olympic Medical Center | $137 – $244 | $195 | $244 |
| Overlake Hospital Medical Center & Clinics | — | $38.31 | $76.62 |
| PeaceHealth Peace Island Medical Center | — | $82.94 | $128 |
| PeaceHealth Southwest Medical Cente | — | $82.94 | $128 |
| PeaceHealth St John Medical Center | — | $82.94 | $128 |
| PeaceHealth St Joseph Medical Center | — | $82.94 | $128 |
| PeaceHealth United General Medical Center | $5,299 | $82.94 | $128 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $397 – $678 | $567 – $968 |
| Providence Centralia Hospital | — | $143 | $276 |
| Providence Holy Family Hospital | — | $397 – $678 | $567 – $968 |
| Providence Regional Medical Center Everett | — | $58.54 | $113 |
| Providence St Peter Hospital | — | $157 – $179 | $302 – $345 |
| Seattle Children's Hospital | $152 – $271 | $282 | $282 |
| St Anthony Hospital | $326 – $444 | $180 | $592 |
| St Clare Hospital | $326 – $444 | $171 | $592 |
| St Elizabeth Hospital | $213 – $533 | $209 | $592 |
| St Francis Community Hospital | $326 – $444 | $186 | $592 |
| St Joseph Medical Center | $326 – $444 | $196 | $592 |
| St Michael Medical Center | $373 – $533 | $261 | $592 |
| Swedish Edmonds Hospital | — | $99.02 – $139 | $206 – $290 |
| Swedish Issaquah | — | $99.02 – $139 | $206 – $290 |
| Swedish Medical Center | — | $55.14 – $139 | $115 – $290 |
| Swedish Medical Center / Cherry Hill | — | $99.02 – $139 | $206 – $290 |
| Virginia Mason Medical Center | $45.06 – $56.28 | $35.88 | $70.35 |
Medicare (traditional) reference
CMS publishes no national amount for this code.