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Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

HCPCS J2250

Injection, midazolam hydrochloride, per 1 mg

Current code46 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$8.401 plan$14.00 – $16.00$14.00 – $16.00
Capital Medical CenterOlympiaFile dated 2026-08-27—$5.00 – $50.00$1.25 – $125
Cascade Valley HospitalArlington$502 – $1,2841 plan$35.96 – $120$44.95 – $150
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$1.44 – $72.00$1.80 – $180
EvergreenHealth Medical CenterKirkland—$12.00 – $273$15.00 – $341
EvergreenHealth MonroeMonroe—$12.00 – $64.80$15.00 – $81.00
Highline Medical CenterBurienFile dated 2026-02-28—$51.55 – $1,130$169 – $3,701
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$36.52 – $84.01$52.17 – $120
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1.18 – $59.00$1.48 – $148
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$5.00 – $50.00$1.25 – $125
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$5.00 – $50.00$1.25 – $125
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1.00 – $50.00$1.25 – $125
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$1.44 – $72.00$1.80 – $180
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$47.79 – $70.76$59.74 – $88.45
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$5.50 – $72.66$11.01 – $145
PeaceHealth Peace Island Medical CenterFriday Harbor—$38.31 – $127$58.94 – $196
PeaceHealth Southwest Medical CenteVancouver—$38.29 – $129$58.90 – $199
PeaceHealth St John Medical CenterLongview—$16.51 – $106$25.40 – $162
PeaceHealth St Joseph Medical CenterBellingham—$1.33 – $127$2.05 – $196
PeaceHealth United General Medical CenterSedro Woolley—$38.31 – $127$58.94 – $196
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$75.71 – $281$108 – $401
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$45.81 – $87.98$88.09 – $169
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$75.71 – $281$108 – $401
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$75.71 – $221$108 – $316
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$41.10 – $107$79.04 – $206
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$75.71$108
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$12.61 – $61.05$18.01 – $87.22
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$45.71 – $144$87.90 – $277
Seattle Children's HospitalSeattle—$20.00 – $58.90$20.00 – $58.90
Skagit Valley HospitalMount Vernon—$35.96 – $120$44.95 – $150
St Anthony HospitalGig HarborFile dated 2026-02-28—$51.35 – $1,126$169 – $3,701
St Clare HospitalLakewoodFile dated 2026-02-28—$48.66 – $1,067$169 – $3,701
St Elizabeth HospitalEnumclawFile dated 2026-02-28$30.39 – $81412 plans$59.65 – $1,308$169 – $3,701
St Francis Community HospitalFederal WayFile dated 2026-02-28—$52.98 – $1,161$169 – $3,701
St Joseph Medical CenterTacomaFile dated 2026-02-28—$55.91 – $1,226$169 – $3,701
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$74.50 – $1,633$169 – $3,701
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$42.59 – $55.30$88.73 – $115
Swedish IssaquahIssaquahFile dated 2026-04-01—$42.59 – $50.44$88.73 – $105
Swedish Medical CenterSeattleFile dated 2026-04-01—$42.59 – $56.11$88.73 – $117
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$42.59 – $55.30$88.73 – $115
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$4.17 – $50.07$1.25 – $125
Three Rivers HospitalBrewster—$27.83 – $37.57$27.83 – $37.57
Virginia Mason Medical CenterSeattle—$1.12 – $1.43$1.06 – $2.81
WhidbeyHealth Medical CenterCoupeville—$16.00$16.00
Yakima Valley MemorialYakimaFile dated 2026-08-27—$1.04 – $50.00$1.09 – $125

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.