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Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

HCPCS J2560

Injection, phenobarbital sodium, up to 120 mg

Current code47 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$8.34 – $50.00$20.83 – $125
Cascade Valley HospitalArlington$143 – $1691 plan$115 – $135$143 – $169
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$12.00 – $72.00$30.00 – $180
EvergreenHealth Medical CenterKirkland—$205 – $438$256 – $547
EvergreenHealth MonroeMonroe—$188 – $562$235 – $702
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$36.24 – $83.06$119 – $272
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$36.52 – $87.96$52.17 – $126
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$59.00$148
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$8.34 – $50.00$20.83 – $125
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$8.34 – $50.00$20.83 – $125
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$3.13 – $50.00$7.81 – $125
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$10.29 – $72.00$25.71 – $180
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$92.59 – $93.48$116 – $117
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$6.71 – $369$13.42 – $737
PeaceHealth Peace Island Medical CenterFriday Harbor—$58.18 – $275$89.50 – $423
PeaceHealth Southwest Medical CenteVancouver—$58.18 – $243$89.50 – $373
PeaceHealth St John Medical CenterLongview—$58.18 – $184$89.50 – $283
PeaceHealth St Joseph Medical CenterBellingham—$58.18 – $260$89.50 – $400
PeaceHealth United General Medical CenterSedro Woolley—$58.18 – $152$89.50 – $234
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$75.71 – $235$108 – $336
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$73.83 – $94.70$142 – $182
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$75.71 – $235$108 – $336
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$75.71 – $235$108 – $336
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$64.60$124
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$75.71 – $235$108 – $336
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$12.61 – $157$18.01 – $225
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$73.83 – $147$142 – $282
Seattle Children's HospitalSeattle$46.32 – $58.5812 plans$180$180
Skagit Valley HospitalMount Vernon—$115 – $135$143 – $169
St Anthony HospitalGig HarborFile dated 2026-02-28—$36.09 – $82.73$119 – $272
St Clare HospitalLakewoodFile dated 2026-02-28—$34.20 – $78.41$119 – $272
St Elizabeth HospitalEnumclawFile dated 2026-02-28$20.18 – $56.315 plans$41.93 – $96.12$119 – $272
St Francis Community HospitalFederal WayFile dated 2026-02-28—$37.24 – $85.36$119 – $272
St Joseph Medical CenterTacomaFile dated 2026-02-28—$39.30 – $90.09$119 – $272
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$52.37 – $120$119 – $272
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$42.59 – $58.75$88.73 – $122
Swedish IssaquahIssaquahFile dated 2026-04-01—$42.59 – $58.75$88.73 – $122
Swedish Medical CenterSeattleFile dated 2026-04-01—$42.59 – $58.75$88.73 – $122
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$42.59 – $58.75$88.73 – $122
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$4.55 – $50.00$11.36 – $125
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$58.01 – $99.63$114 – $195
WhidbeyHealth Medical CenterCoupeville—$36.00$36.00
Yakima Valley MemorialYakimaFile dated 2026-08-27—$7.15 – $50.00$17.86 – $125

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.