HCPCS J2560
Injection, phenobarbital sodium, up to 120 mg
Current code47 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $15.21 – $106 | $8.34 – $50.00 | $20.83 – $125 |
| Cascade Valley Hospital | $12.18 – $1,493 | $115 – $135 | $143 – $169 |
| Deaconess Medical Center | $11.15 – $174 | $12.00 – $72.00 | $30.00 – $180 |
| EvergreenHealth Medical Center | $45.86 – $509 | $205 – $438 | $256 – $547 |
| EvergreenHealth Monroe | $35.44 – $653 | $188 – $562 | $235 – $702 |
| Harborview Medical Center | $39.33 | — | — |
| Highline Medical Center | $51.02 – $245 | $36.24 – $83.06 | $119 – $272 |
| Island Hospital | $29.08 | — | — |
| Kadlec Regional Medical Center | $38.20 – $117 | $36.52 – $87.96 | $52.17 – $126 |
| Legacy Salmon Creek Medical Center | $47.51 – $72.41 | — | — |
| Mary Bridge Children's Hospital | $95.27 – $307 | $59.00 | $148 |
| MultiCare Auburn Medical Center | $15.21 – $181 | $8.34 – $50.00 | $20.83 – $125 |
| MultiCare Covington Medical Center | $15.21 – $181 | $8.34 – $50.00 | $20.83 – $125 |
| MultiCare Good Samaritan Hospital | $5.70 – $181 | $3.13 – $50.00 | $7.81 – $125 |
| MultiCare Valley Hospital | $9.55 – $174 | $10.29 – $72.00 | $25.71 – $180 |
| Olympic Medical Center | $64.69 – $117 | $92.59 – $93.48 | $116 – $117 |
| Overlake Hospital Medical Center & Clinics | $57.21 – $60.90 | $6.71 – $369 | $13.42 – $737 |
| PeaceHealth Peace Island Medical Center | — | $58.18 – $275 | $89.50 – $423 |
| PeaceHealth Southwest Medical Cente | $45.07 | $58.18 – $243 | $89.50 – $373 |
| PeaceHealth St John Medical Center | $50.59 | $58.18 – $184 | $89.50 – $283 |
| PeaceHealth St Joseph Medical Center | $50.34 | $58.18 – $260 | $89.50 – $400 |
| PeaceHealth United General Medical Center | — | $58.18 – $152 | $89.50 – $234 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $43.32 – $67.66 | $75.71 – $235 | $108 – $336 |
| Providence Centralia Hospital | $85.25 – $189 | $73.83 – $94.70 | $142 – $182 |
| Providence Holy Family Hospital | $43.32 – $67.66 | $75.71 – $235 | $108 – $336 |
| Providence Mount Carmel Hospital | — | $75.71 – $235 | $108 – $336 |
| Providence Regional Medical Center Everett | $43.32 – $67.66 | $64.60 | $124 |
| Providence St Joseph Hospital | — | $75.71 – $235 | $108 – $336 |
| Providence St Mary Medical Center | $67.66 – $203 | $12.61 – $157 | $18.01 – $225 |
| Providence St Peter Hospital | $54.43 – $70.37 | $73.83 – $147 | $142 – $282 |
| Seattle Children's Hospital | $97.31 – $173 | $180 | $180 |
| Skagit Valley Hospital | $51.19 – $174 | $115 – $135 | $143 – $169 |
| St Anthony Hospital | $59.33 – $204 | $36.09 – $82.73 | $119 – $272 |
| St Clare Hospital | $59.33 – $204 | $34.20 – $78.41 | $119 – $272 |
| St Elizabeth Hospital | $39.52 – $245 | $41.93 – $96.12 | $119 – $272 |
| St Francis Community Hospital | $59.33 – $204 | $37.24 – $85.36 | $119 – $272 |
| St Joseph Medical Center | $59.33 – $204 | $39.30 – $90.09 | $119 – $272 |
| St Michael Medical Center | $65.54 – $245 | $52.37 – $120 | $119 – $272 |
| Swedish Edmonds Hospital | $43.32 – $54.72 | $42.59 – $58.75 | $88.73 – $122 |
| Swedish Issaquah | $43.32 – $54.72 | $42.59 – $58.75 | $88.73 – $122 |
| Swedish Medical Center | $43.32 – $54.43 | $42.59 – $58.75 | $88.73 – $122 |
| Swedish Medical Center / Cherry Hill | $43.32 – $54.43 | $42.59 – $58.75 | $88.73 – $122 |
| Tacoma General Allenmore Hospital | $8.29 – $181 | $4.55 – $50.00 | $11.36 – $125 |
| University of Washington Medical Ctr | $39.33 | — | — |
| Virginia Mason Medical Center | $68.25 – $156 | $58.01 – $99.63 | $114 – $195 |
| WhidbeyHealth Medical Center | — | $36.00 | $36.00 |
| Yakima Valley Memorial | $8.75 – $107 | $7.15 – $50.00 | $17.86 – $125 |
Medicare (traditional) reference
CMS publishes no national amount for this code.