HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Current codeInjection - Vasodilator45 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 J2760 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$359 – $2,35216 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$257 – $2,01816 plans$725$1,812
EvergreenHealth Medical CenterKirkland$399 – $2,79725 plans$2,406$3,007
EvergreenHealth MonroeMonroe$399 – $2,79716 plans$2,406$3,007
Harborview Medical CenterSeattleFile dated 2026-04-01$458 – $9384 plans——
Highline Medical CenterBurienFile dated 2026-02-28$195 – $4,77217 plans$139 – $1,619$454 – $5,302
Island HospitalAnacortes$421 – $9086 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$435 – $1,50011 plans$954 – $1,117$1,363 – $1,596
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$478 – $1,0378 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$186 – $3,78820 plans$792$1,980
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$257 – $2,09520 plans$575$1,437
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$425 – $2,09517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$227 – $2,09520 plans$124 – $502$311 – $1,255
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$425 – $2,01310 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$650 – $1,1636 plans$930$1,163
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$283 – $2,65015 plans$479 – $1,430$959 – $2,860
PeaceHealth Peace Island Medical CenterFriday Harbor—$725$1,115
PeaceHealth Southwest Medical CenteVancouver$168 – $1,3656 plans$725$1,115
PeaceHealth St John Medical CenterLongview$168 – $7324 plans$725$1,115
PeaceHealth St Joseph Medical CenterBellingham$421 – $7282 plans$725$1,115
PeaceHealth United General Medical CenterSedro Woolley—$725$1,115
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$349 – $86814 plans$835 – $1,219$1,193 – $1,741
Providence Centralia HospitalCentraliaFile dated 2026-04-01$399 – $2,88213 plans$1,497$2,879
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$309 – $86811 plans$835 – $1,219$1,193 – $1,741
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$835 – $1,219$1,193 – $1,741
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$309 – $86812 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$835 – $1,219$1,193 – $1,741
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$399 – $2,46910 plans$1,787 – $2,608$2,553 – $3,726
Providence St Peter HospitalOlympiaFile dated 2026-04-01$219 – $1,11314 plans$1,096 – $1,497$2,108 – $2,879
Seattle Children's HospitalSeattle$1,501 – $3,10598 plans$2,779 – $3,235$2,779 – $3,235
St Anthony HospitalGig HarborFile dated 2026-02-28$221 – $3,97718 plans$138 – $1,613$454 – $5,302
St Clare HospitalLakewoodFile dated 2026-02-28$221 – $3,97718 plans$131 – $1,528$454 – $5,302
St Elizabeth HospitalEnumclawFile dated 2026-02-28$151 – $4,77217 plans$160 – $1,874$454 – $5,302
St Francis Community HospitalFederal WayFile dated 2026-02-28$221 – $3,97718 plans$142 – $1,664$454 – $5,302
St Joseph Medical CenterTacomaFile dated 2026-02-28$221 – $3,97718 plans$150 – $1,756$454 – $5,302
St Michael Medical CenterSilverdaleFile dated 2026-02-28$331 – $4,77218 plans$200 – $2,340$454 – $5,302
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$386 – $87314 plans$813 – $1,186$1,693 – $2,471
Swedish IssaquahIssaquahFile dated 2026-04-01$386 – $1,04213 plans$1,186$2,471
Swedish Medical CenterSeattleFile dated 2026-04-01$386 – $1,04220 plans$813 – $1,186$1,693 – $2,471
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$386 – $1,02314 plans$1,186$2,471
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$257 – $2,09520 plans$463 – $648$1,156 – $1,619
University of Washington Medical CtrSeattleFile dated 2026-04-01$458 – $1,35513 plans——
Virginia Mason Medical CenterSeattle$367 – $1,40010 plans$645$1,265
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$6501 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$404 – $1,50719 plans$531 – $704$1,328 – $1,759

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$297 (APC 1458)
Surgery center payment (national)
$297