HCPCS J2150

Injection, mannitol, 25% in 50 ml

Retired code26 hospitals with prices

Description from CMS's HCPCS Level II code file.

This code is retired. Some hospitals still list it.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS J2150 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$12.951 plan	$19.39	$24.24
Highline Medical CenterBurienFile dated 2026-02-28	—	$59.00 – $189	$193 – $618
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$9.75 – $19.50	$19.50 – $39.00
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$58.77 – $188	$193 – $618
St Clare HospitalLakewoodFile dated 2026-02-28	—	$55.69 – $178	$193 – $618
St Elizabeth HospitalEnumclawFile dated 2026-02-28	—	$68.27 – $218	$193 – $618
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$60.64 – $194	$193 – $618
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$63.99 – $205	$193 – $618
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$85.27 – $273	$193 – $618
Three Rivers HospitalBrewster	$1121 plan	$160	$160

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.