HCPCS J1955
Injection, levocarnitine, per 1 gm
Current code42 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| EvergreenHealth Medical Center | — | $198 – $269 | $247 – $336 |
| EvergreenHealth Monroe | — | $269 | $336 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $181 | $592 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $81.38 – $146 | $116 – $209 |
| 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 | — | $78.27 – $111 | $196 – $278 |
| Olympic Medical Center | — | $195 | $244 |
| Overlake Hospital Medical Center & Clinics | — | $38.31 | $76.62 |
| 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 Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | $157 – $179 | $302 – $345 |
| Seattle Children's Hospital | $72.46 – $91.64 | $282 | $282 |
| St Anthony Hospital | — | $180 | $592 |
| St Clare Hospital | — | $171 | $592 |
| St Elizabeth Hospital | $101 – $123 | $209 | $592 |
| St Francis Community Hospital | — | $186 | $592 |
| St Joseph Medical Center | — | $196 | $592 |
| St Michael Medical Center | — | $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 |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $35.88 | $70.35 |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.