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HCPCS J1956

Injection, levofloxacin, 250 mg

Current code50 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$32.40 – $37.803 plans$54.00$54.00
Capital Medical CenterOlympiaFile dated 2026-08-27$22.08 – $41.232 plans$11.04 – $19.40$27.60 – $48.50
Cascade Medical CenterLeavenworth$26.40 – $75.002 plans$60.00$75.00
Cascade Valley HospitalArlington$5.10 – $7628 plans$48.00 – $64.73$60.00 – $80.91
Deaconess Medical CenterSpokaneFile dated 2026-08-27$31.36 – $1032 plans$17.67 – $56.22$44.17 – $141
EvergreenHealth Medical CenterKirkland$2.94 – $50.227 plans$43.20$54.00
EvergreenHealth MonroeMonroe$28.35 – $52.0812 plans$36.00 – $44.80$45.00 – $56.00
Highline Medical CenterBurienFile dated 2026-02-28$166 – $5226 plans$118 – $177$386 – $580
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$48.03$68.62
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$23.14 – $94.246 plans$14.16 – $47.12$35.38 – $118
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$16.28 – $34.313 plans$11.04 – $18.80$27.60 – $47.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$16.64 – $72.423 plans$11.28 – $39.68$28.20 – $99.20
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$16.28 – $59.283 plans$11.04 – $32.48$27.60 – $81.20
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$31.23 – $52.562 plans$17.36 – $29.20$43.38 – $73.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24$36.94 – $1636 plans$52.88 – $130$66.10 – $163
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$22.22 – $39.45$44.43 – $78.90
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$101$144
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$60.05 – $69.28$115 – $133
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$101$144
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$101$144
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$86.21$166
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$101$144
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00 – $53.61$42.86 – $76.59
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$60.05 – $71.59$115 – $138
Seattle Children's HospitalSeattle$42.63 – $97.3098 plans$78.95 – $101$78.95 – $101
Skagit Valley HospitalMount Vernon$8.66 – $76.867 plans$48.00 – $64.73$60.00 – $80.91
St Anthony HospitalGig HarborFile dated 2026-02-28$213 – $4354 plans$118 – $176$386 – $580
St Clare HospitalLakewoodFile dated 2026-02-28$213 – $4354 plans$111 – $167$386 – $580
St Elizabeth HospitalEnumclawFile dated 2026-02-28$139 – $5229 plans$137 – $205$386 – $580
St Francis Community HospitalFederal WayFile dated 2026-02-28$213 – $4354 plans$121 – $182$386 – $580
St Joseph Medical CenterTacomaFile dated 2026-02-28$213 – $4354 plans$128 – $192$386 – $580
St Michael Medical CenterSilverdaleFile dated 2026-02-28$243 – $52210 plans$171 – $256$386 – $580
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$55.69$116
Swedish IssaquahIssaquahFile dated 2026-04-01—$55.69$116
Swedish Medical CenterSeattleFile dated 2026-04-01—$55.69$116
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$55.69$116
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$16.28 – $35.413 plans$11.04 – $19.40$27.60 – $48.50
Three Rivers HospitalBrewster—$50.40 – $92.40$50.40 – $92.40
Virginia Mason Medical CenterSeattle$1.70 – $21.104 plans$1.35 – $13.45$2.65 – $26.38
Yakima Valley MemorialYakimaFile dated 2026-08-27$5.73 – $15.461 plan$4.10 – $11.04$10.23 – $27.60

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.