HCPCS J1956
Injection, levofloxacin, 250 mg
Current code50 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) |
|---|---|---|---|
| BHC Fairfax Hospital | $32.40 – $37.80 | $54.00 | $54.00 |
| Capital Medical Center | $20.15 – $41.23 | $11.04 – $19.40 | $27.60 – $48.50 |
| Cascade Valley Hospital | $5.10 – $762 | $48.00 – $64.73 | $60.00 – $80.91 |
| Deaconess Medical Center | $16.41 – $103 | $17.67 – $56.22 | $44.17 – $141 |
| EvergreenHealth Medical Center | $2.94 – $50.22 | $43.20 | $54.00 |
| EvergreenHealth Monroe | $28.35 – $52.08 | $36.00 – $44.80 | $45.00 – $56.00 |
| Harborview Medical Center | $1.01 | — | — |
| Highline Medical Center | $166 – $522 | $118 – $177 | $386 – $580 |
| Island Hospital | $2.16 | — | — |
| Kadlec Regional Medical Center | $1.90 – $7.18 | $48.03 | $68.62 |
| Legacy Salmon Creek Medical Center | $2.32 – $6.10 | — | — |
| Mary Bridge Children's Hospital | $22.85 – $95.89 | $14.16 – $47.12 | $35.38 – $118 |
| MultiCare Auburn Medical Center | $20.15 – $34.31 | $11.04 – $18.80 | $27.60 – $47.00 |
| MultiCare Covington Medical Center | $20.59 – $72.42 | $11.28 – $39.68 | $28.20 – $99.20 |
| MultiCare Good Samaritan Hospital | $20.15 – $59.28 | $11.04 – $32.48 | $27.60 – $81.20 |
| MultiCare Valley Hospital | $16.12 – $52.56 | $17.36 – $29.20 | $43.38 – $73.00 |
| Olympic Medical Center | $36.94 – $163 | $52.88 – $130 | $66.10 – $163 |
| Overlake Hospital Medical Center & Clinics | $3.52 – $3.74 | $22.22 – $39.45 | $44.43 – $78.90 |
| PeaceHealth Peace Island Medical Center | — | $117 – $131 | $180 – $202 |
| PeaceHealth Southwest Medical Cente | $3.35 | $117 – $131 | $180 – $202 |
| PeaceHealth St John Medical Center | $3.76 | $117 – $131 | $180 – $202 |
| PeaceHealth St Joseph Medical Center | $3.74 | $117 – $131 | $180 – $202 |
| PeaceHealth United General Medical Center | — | $117 – $131 | $180 – $202 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.01 – $4.16 | $101 | $144 |
| Providence Centralia Hospital | $5.24 – $7.18 | $60.05 – $69.28 | $115 – $133 |
| Providence Holy Family Hospital | $1.01 – $4.16 | $101 | $144 |
| Providence Mount Carmel Hospital | — | $101 | $144 |
| Providence Regional Medical Center Everett | $1.01 – $4.16 | $86.21 | $166 |
| Providence St Joseph Hospital | — | $101 | $144 |
| Providence St Mary Medical Center | $4.16 – $5.77 | $30.00 – $53.61 | $42.86 – $76.59 |
| Providence St Peter Hospital | $1.90 – $4.33 | $60.05 – $71.59 | $115 – $138 |
| Seattle Children's Hospital | $42.63 – $97.30 | $78.95 – $101 | $78.95 – $101 |
| Skagit Valley Hospital | $8.66 – $76.86 | $48.00 – $64.73 | $60.00 – $80.91 |
| St Anthony Hospital | $193 – $435 | $118 – $176 | $386 – $580 |
| St Clare Hospital | $193 – $435 | $111 – $167 | $386 – $580 |
| St Elizabeth Hospital | $1.47 – $522 | $137 – $205 | $386 – $580 |
| St Francis Community Hospital | $193 – $435 | $121 – $182 | $386 – $580 |
| St Joseph Medical Center | $193 – $435 | $128 – $192 | $386 – $580 |
| St Michael Medical Center | $1.86 – $522 | $171 – $256 | $386 – $580 |
| Swedish Edmonds Hospital | $1.01 – $3.92 | $55.69 | $116 |
| Swedish Issaquah | $1.01 – $3.92 | $55.69 | $116 |
| Swedish Medical Center | $1.01 – $1.90 | $55.69 | $116 |
| Swedish Medical Center / Cherry Hill | $1.01 – $1.90 | $55.69 | $116 |
| Tacoma General Allenmore Hospital | $20.15 – $35.41 | $11.04 – $19.40 | $27.60 – $48.50 |
| Three Rivers Hospital | — | $50.40 – $92.40 | $50.40 – $92.40 |
| University of Washington Medical Ctr | $1.01 | — | — |
| Virginia Mason Medical Center | $1.59 – $21.10 | $1.35 – $13.45 | $2.65 – $26.38 |
| WhidbeyHealth Medical Center | — | $105 | $105 |
| Yakima Valley Memorial | $4.35 – $23.65 | $4.10 – $11.04 | $10.23 – $27.60 |
Medicare (traditional) reference
CMS publishes no national amount for this code.