HCPCS J2403

Chloroprocaine hcl ophthalmic, 3% gel, 1 mg

Current code26 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 J2403 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.15 – $3.625 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.15 – $3.215 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1.17 – $1.272 plans——
Island HospitalAnacortes$1.09 – $1.224 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.12 – $2.323 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1.03 – $1.395 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.15 – $5.667 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.15 – $3.3310 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1.15 – $3.3310 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.15 – $3.336 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1.15 – $3.206 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1.13 – $1.856 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1.12 – $1.342 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.69 – $3.886 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1.12 – $1.342 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1.12 – $1.343 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1.34 – $3.934 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1.01 – $1.393 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1.08 – $1.275 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1.04 – $1.265 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1.12 – $1.627 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1.12 – $1.624 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.15 – $3.3310 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1.01 – $1.838 plans——
Virginia Mason Medical CenterSeattle$1.91 – $2.163 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.26 – $1.589 plans——

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.