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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $59.00 – $189 | $193 – $618 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | $9.75 – $19.50 | $19.50 – $39.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $58.77 – $188 | $193 – $618 |
| St Clare Hospital | — | $55.69 – $178 | $193 – $618 |
| St Elizabeth Hospital | $32.85 – $128 | $68.27 – $218 | $193 – $618 |
| St Francis Community Hospital | — | $60.64 – $194 | $193 – $618 |
| St Joseph Medical Center | — | $63.99 – $205 | $193 – $618 |
| St Michael Medical Center | — | $85.27 – $273 | $193 – $618 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Three Rivers Hospital | $112 | $160 | $160 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.