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) |
|---|---|---|---|
| Cascade Medical Center | $15.20 – $24.24 | $19.39 | $24.24 |
| Highline Medical Center | $83.08 – $556 | $59.00 – $189 | $193 – $618 |
| Overlake Hospital Medical Center & Clinics | — | $9.75 – $19.50 | $19.50 – $39.00 |
| St Anthony Hospital | $106 – $464 | $58.77 – $188 | $193 – $618 |
| St Clare Hospital | $106 – $464 | $55.69 – $178 | $193 – $618 |
| St Elizabeth Hospital | $69.56 – $556 | $68.27 – $218 | $193 – $618 |
| St Francis Community Hospital | $106 – $464 | $60.64 – $194 | $193 – $618 |
| St Joseph Medical Center | $106 – $464 | $63.99 – $205 | $193 – $618 |
| St Michael Medical Center | $122 – $556 | $85.27 – $273 | $193 – $618 |
| Three Rivers Hospital | — | $160 | $160 |
Medicare (traditional) reference
CMS publishes no national amount for this code.