HCPCS J2550
Injection, promethazine hcl, up to 50 mg
Current code33 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) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $16.00 | $16.00 |
| Capital Medical Center | — | $2.40 | $6.00 |
| Cascade Medical Center | $3.47 – $8.10 | $5.20 – $12.14 | $6.50 – $15.17 |
| Cascade Valley Hospital | — | $4.53 – $9.58 | $5.66 – $11.98 |
| Deaconess Medical Center | — | $1.60 | $4.00 |
| Island Hospital | — | $4.00 | $4.00 |
| Kadlec Regional Medical Center | — | $34.61 | $49.44 |
| Mary Bridge Children's Hospital | — | $2.40 | $6.00 |
| MultiCare Auburn Medical Center | — | $2.40 | $6.00 |
| MultiCare Covington Medical Center | — | $2.40 | $6.00 |
| MultiCare Good Samaritan Hospital | — | $2.40 | $6.00 |
| MultiCare Valley Hospital | — | $1.60 | $4.00 |
| Overlake Hospital Medical Center & Clinics | — | $5.78 – $7.68 | $11.57 – $15.35 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 | $101 |
| Providence Holy Family Hospital | — | $70.66 | $101 |
| Providence Mount Carmel Hospital | — | $70.66 | $101 |
| Providence St Mary Medical Center | — | $30.00 | $42.86 |
| Skagit Valley Hospital | — | $4.53 – $9.58 | $5.66 – $11.98 |
| 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 | — | $2.40 | $6.00 |
| Three Rivers Hospital | $19.48 | $27.83 | $27.83 |
| Virginia Mason Medical Center | — | $8.25 – $9.45 | $16.17 – $18.52 |
Medicare (traditional) reference
CMS publishes no national amount for this code.