HCPCS J2354
Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg
Current codeInjection - Somatostatin45 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $2.08 – $17.48 | $5.19 – $43.68 |
| Cascade Valley Hospital | — | $16.85 – $148 | $21.06 – $185 |
| Deaconess Medical Center | — | $3.16 – $27.22 | $7.88 – $68.03 |
| EvergreenHealth Medical Center | — | $20.00 – $65.60 | $25.00 – $82.00 |
| EvergreenHealth Monroe | — | $186 | $232 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $8.14 – $163 | $26.65 – $533 |
| Kadlec Regional Medical Center | — | $34.61 – $53.09 | $49.44 – $75.84 |
| Legacy Salmon Creek Medical Center | — | — | — |
| MultiCare Auburn Medical Center | — | $2.08 – $17.48 | $5.19 – $43.68 |
| MultiCare Covington Medical Center | — | $2.08 – $15.94 | $5.19 – $39.83 |
| MultiCare Good Samaritan Hospital | — | $2.08 – $17.48 | $5.19 – $43.68 |
| MultiCare Valley Hospital | — | $3.16 – $27.22 | $7.88 – $68.03 |
| Olympic Medical Center | — | $46.25 – $46.66 | $57.81 – $58.33 |
| Overlake Hospital Medical Center & Clinics | — | $4.88 – $16.14 | $9.75 – $32.27 |
| PeaceHealth Peace Island Medical Center | — | $41.24 – $247 | $63.45 – $379 |
| PeaceHealth Southwest Medical Cente | — | $41.24 – $247 | $63.45 – $379 |
| PeaceHealth St John Medical Center | — | $41.24 – $247 | $63.45 – $379 |
| PeaceHealth St Joseph Medical Center | — | $41.24 – $247 | $63.45 – $379 |
| PeaceHealth United General Medical Center | — | $41.24 – $247 | $63.45 – $379 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 | $101 |
| Providence Centralia Hospital | — | $43.68 – $47.51 | $84.00 – $91.37 |
| Providence Holy Family Hospital | — | $70.66 | $101 |
| Providence Mount Carmel Hospital | — | $70.66 – $77.94 | $101 – $111 |
| Providence Regional Medical Center Everett | — | $40.71 – $41.90 | $78.28 – $80.58 |
| Providence St Joseph Hospital | — | $70.66 | $101 |
| Providence St Mary Medical Center | — | $30.00 – $36.58 | $42.86 – $52.26 |
| Providence St Peter Hospital | — | $45.74 – $48.18 | $87.97 – $92.66 |
| Seattle Children's Hospital | — | $20.00 – $3,240 | $20.00 – $3,240 |
| Skagit Valley Hospital | — | $16.85 – $148 | $21.06 – $185 |
| St Anthony Hospital | — | $8.11 – $162 | $26.65 – $533 |
| St Clare Hospital | — | $7.69 – $154 | $26.65 – $533 |
| St Elizabeth Hospital | — | $9.42 – $188 | $26.65 – $533 |
| St Francis Community Hospital | — | $8.37 – $167 | $26.65 – $533 |
| St Joseph Medical Center | — | $8.83 – $176 | $26.65 – $533 |
| St Michael Medical Center | — | $11.77 – $235 | $26.65 – $533 |
| Swedish Edmonds Hospital | — | $36.04 | $75.08 |
| Swedish Issaquah | — | $36.04 | $75.08 |
| Swedish Medical Center | — | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | — | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | — | $2.08 – $32.48 | $2.33 – $81.20 |
| Three Rivers Hospital | $26.27 | $37.52 | $37.52 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $1.13 – $1.64 | $2.22 – $3.22 |
| Yakima Valley Memorial | — | $2.08 – $17.48 | $5.19 – $43.68 |
Medicare (traditional) reference
CMS publishes no national amount for this code.