HCPCS J1955

Injection, levocarnitine, per 1 gm

Current code42 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 J1955 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland—$198 – $269$247 – $336
EvergreenHealth MonroeMonroe—$269$336
Highline Medical CenterBurienFile dated 2026-02-28—$181$592
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$81.38 – $146$116 – $209
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$78.27 – $111$196 – $278
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$195$244
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$38.31$76.62
PeaceHealth Peace Island Medical CenterFriday Harbor—$82.94$128
PeaceHealth Southwest Medical CenteVancouver—$82.94$128
PeaceHealth St John Medical CenterLongview—$82.94$128
PeaceHealth St Joseph Medical CenterBellingham—$82.94$128
PeaceHealth United General Medical CenterSedro Woolley—$82.94$128
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$397 – $678$567 – $968
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$143$276
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$397 – $678$567 – $968
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$58.54$113
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$157 – $179$302 – $345
Seattle Children's HospitalSeattle$72.46 – $91.6412 plans$282$282
St Anthony HospitalGig HarborFile dated 2026-02-28—$180$592
St Clare HospitalLakewoodFile dated 2026-02-28—$171$592
St Elizabeth HospitalEnumclawFile dated 2026-02-28$166 – $1965 plans$209$592
St Francis Community HospitalFederal WayFile dated 2026-02-28—$186$592
St Joseph Medical CenterTacomaFile dated 2026-02-28—$196$592
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$261$592
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$99.02 – $139$206 – $290
Swedish IssaquahIssaquahFile dated 2026-04-01—$99.02 – $139$206 – $290
Swedish Medical CenterSeattleFile dated 2026-04-01—$55.14 – $139$115 – $290
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$99.02 – $139$206 – $290
Virginia Mason Medical CenterSeattle—$35.88$70.35

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.