HCPCS J2315
Injection, naltrexone, depot form, 1 mg
Current code39 hospitals with prices
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) |
|---|---|---|---|
| Cascade Valley Hospital | $4.45 – $4,485 | $3,386 – $3,552 | $4,233 – $4,440 |
| EvergreenHealth Medical Center | — | $6,898 | $8,623 |
| EvergreenHealth Monroe | $4.09 | $6,898 | $8,623 |
| Olympic Medical Center | $980 – $1,074 | $4,103 | $5,129 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,425 | $6,321 |
| Providence Holy Family Hospital | — | $4,425 | $6,321 |
| Providence St Mary Medical Center | — | $4,761 | $6,802 |
| Seattle Children's Hospital | — | $11,037 | $11,037 |
| Skagit Valley Hospital | $8.37 – $1,015 | $3,386 – $3,552 | $4,233 – $4,440 |
| Swedish Edmonds Hospital | — | $4,306 | $8,971 |
| Swedish Issaquah | — | $4,306 | $8,971 |
| Swedish Medical Center | — | $4,306 | $8,971 |
| Swedish Medical Center / Cherry Hill | — | $4,306 | $8,971 |
| Virginia Mason Medical Center | — | $6.25 | $12.25 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $4.54 (APC 0759)
- Surgery center payment (national)
- $4.54