HCPCS J2760
Injection, phentolamine mesylate, up to 5 mg
Current codeInjection - Vasodilator45 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $62.50 – $92.59 | — | — |
| Deaconess Medical Center | $57.18 – $60.55 | $725 | $1,812 |
| EvergreenHealth Medical Center | — | $2,406 | $3,007 |
| EvergreenHealth Monroe | $458 | $2,406 | $3,007 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $139 – $1,619 | $454 – $5,302 |
| Island Hospital | $59.00 – $64.01 | — | — |
| Kadlec Regional Medical Center | — | $954 – $1,117 | $1,363 – $1,596 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $59.15 – $63.88 | $792 | $1,980 |
| MultiCare Auburn Medical Center | $58.08 – $62.72 | $575 | $1,437 |
| MultiCare Covington Medical Center | $58.08 – $62.72 | — | — |
| MultiCare Good Samaritan Hospital | $59.42 – $64.17 | $124 – $502 | $311 – $1,255 |
| MultiCare Valley Hospital | $56.78 – $60.12 | — | — |
| Olympic Medical Center | $73.10 – $80.06 | $930 | $1,163 |
| Overlake Hospital Medical Center & Clinics | — | $479 – $1,430 | $959 – $2,860 |
| PeaceHealth Peace Island Medical Center | — | $725 | $1,115 |
| PeaceHealth Southwest Medical Cente | $437 | $725 | $1,115 |
| PeaceHealth St John Medical Center | $328 – $442 | $725 | $1,115 |
| PeaceHealth St Joseph Medical Center | $442 | $725 | $1,115 |
| PeaceHealth United General Medical Center | — | $725 | $1,115 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $835 – $1,219 | $1,193 – $1,741 |
| Providence Centralia Hospital | — | $1,497 | $2,879 |
| Providence Holy Family Hospital | — | $835 – $1,219 | $1,193 – $1,741 |
| Providence Mount Carmel Hospital | — | $835 – $1,219 | $1,193 – $1,741 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $835 – $1,219 | $1,193 – $1,741 |
| Providence St Mary Medical Center | — | $1,787 – $2,608 | $2,553 – $3,726 |
| Providence St Peter Hospital | — | $1,096 – $1,497 | $2,108 – $2,879 |
| Seattle Children's Hospital | — | $2,779 – $3,235 | $2,779 – $3,235 |
| St Anthony Hospital | — | $138 – $1,613 | $454 – $5,302 |
| St Clare Hospital | — | $131 – $1,528 | $454 – $5,302 |
| St Elizabeth Hospital | $77.15 – $1,098 | $160 – $1,874 | $454 – $5,302 |
| St Francis Community Hospital | — | $142 – $1,664 | $454 – $5,302 |
| St Joseph Medical Center | — | $150 – $1,756 | $454 – $5,302 |
| St Michael Medical Center | — | $200 – $2,340 | $454 – $5,302 |
| Swedish Edmonds Hospital | — | $813 – $1,186 | $1,693 – $2,471 |
| Swedish Issaquah | — | $1,186 | $2,471 |
| Swedish Medical Center | — | $813 – $1,186 | $1,693 – $2,471 |
| Swedish Medical Center / Cherry Hill | — | $1,186 | $2,471 |
| Tacoma General Allenmore Hospital | $59.44 – $64.20 | $463 – $648 | $1,156 – $1,619 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $645 | $1,265 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $56.80 – $65.99 | $531 – $704 | $1,328 – $1,759 |
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