HCPCS J2151

Injection, mannitol, 250 mg

Current code24 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.

Prices for HCPCS J2151 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.95 – $2.212 plans$1.10 – $1.22$2.75 – $3.03
EvergreenHealth Medical CenterKirkland$15.68 – $45.5714 plans$39.20$49.00
EvergreenHealth MonroeMonroe$30.87 – $45.5714 plans$39.20$49.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61 – $81.66$49.44 – $117
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.68 – $2.066 plans$1.03$2.57
Olympic Medical CenterPort AngelesFile dated 2026-06-24$42.19 – $75.486 plans$60.38$75.48
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $125$101 – $178
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$61.34 – $89.92$118 – $173
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $125$101 – $178
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $123$101 – $175
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$106$151
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00 – $79.78$42.86 – $114
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$61.34 – $91.11$118 – $175
Seattle Children's HospitalSeattle$93.69 – $16798 plans$174$174
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$12.10 – $36.04$25.20 – $75.08
Swedish IssaquahIssaquahFile dated 2026-04-01—$12.10 – $36.04$25.20 – $75.08
Swedish Medical CenterSeattleFile dated 2026-04-01—$12.10 – $36.04$25.20 – $75.08
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$12.10 – $36.04$25.20 – $75.08
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.14 – $1.573 plans—$1.15 – $2.15

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.