HCPCS J2150
Injection, mannitol, 25% in 50 ml
Retired code26 hospitals with prices
This code is retired. Some hospitals still list it.
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) |
|---|---|---|---|
| Harborview Medical Center | $5.70 | — | — |
| Highline Medical Center | $83.08 – $556 | $59.00 – $189 | $193 – $618 |
| Kadlec Regional Medical Center | $3.15 – $9.65 | — | — |
| Legacy Salmon Creek Medical Center | $5.09 | — | — |
| Overlake Hospital Medical Center & Clinics | $4.72 – $5.03 | $9.75 – $19.50 | $19.50 – $39.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4.17 – $5.58 | — | — |
| Providence Centralia Hospital | $7.03 – $14.48 | — | — |
| Providence Holy Family Hospital | $4.17 – $5.58 | — | — |
| Providence Regional Medical Center Everett | $4.17 – $5.58 | — | — |
| Providence St Mary Medical Center | $5.58 – $17.89 | — | — |
| Providence St Peter Hospital | $4.17 – $5.80 | — | — |
| St Anthony Hospital | $96.60 – $464 | $58.77 – $188 | $193 – $618 |
| St Clare Hospital | $96.60 – $464 | $55.69 – $178 | $193 – $618 |
| St Elizabeth Hospital | $3.33 – $556 | $68.27 – $218 | $193 – $618 |
| St Francis Community Hospital | $96.60 – $464 | $60.64 – $194 | $193 – $618 |
| St Joseph Medical Center | $96.60 – $464 | $63.99 – $205 | $193 – $618 |
| St Michael Medical Center | $4.58 – $556 | $85.27 – $273 | $193 – $618 |
| Swedish Edmonds Hospital | $4.17 – $5.42 | — | — |
| Swedish Issaquah | $4.17 – $5.42 | — | — |
| Swedish Medical Center | $4.17 – $5.42 | — | — |
| Swedish Medical Center / Cherry Hill | $4.17 – $5.42 | — | — |
| Three Rivers Hospital | — | $160 | $160 |
| University of Washington Medical Ctr | $5.70 | — | — |
| Virginia Mason Medical Center | $4.76 | — | — |
| Yakima Valley Memorial | $5.84 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.