HCPCS J2760
Injection, phentolamine mesylate, up to 5 mg
Current codeInjection - Vasodilator45 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $252 – $278 | — | — |
| Deaconess Medical Center | $252 – $278 | $725 | $1,812 |
| EvergreenHealth Medical Center | $458 – $467 | $2,406 | $3,007 |
| EvergreenHealth Monroe | $444 – $460 | $2,406 | $3,007 |
| Harborview Medical Center | $432 – $475 | — | — |
| Highline Medical Center | $486 – $559 | $139 – $1,619 | $454 – $5,302 |
| Island Hospital | $505 – $535 | — | — |
| Kadlec Regional Medical Center | $257 – $309 | $954 – $1,117 | $1,363 – $1,596 |
| Legacy Salmon Creek Medical Center | $265 – $288 | — | — |
| Mary Bridge Children's Hospital | $252 – $278 | $792 | $1,980 |
| MultiCare Auburn Medical Center | $252 – $278 | $575 | $1,437 |
| MultiCare Covington Medical Center | $252 – $278 | — | — |
| MultiCare Good Samaritan Hospital | $252 – $278 | $124 – $502 | $311 – $1,255 |
| MultiCare Valley Hospital | $260 – $278 | — | — |
| Olympic Medical Center | $530 – $681 | $930 | $1,163 |
| Overlake Hospital Medical Center & Clinics | $257 – $268 | $479 – $1,430 | $959 – $2,860 |
| PeaceHealth Peace Island Medical Center | — | $725 | $1,115 |
| PeaceHealth Southwest Medical Cente | $421 – $484 | $725 | $1,115 |
| PeaceHealth St John Medical Center | $328 – $463 | $725 | $1,115 |
| PeaceHealth St Joseph Medical Center | $421 – $463 | $725 | $1,115 |
| PeaceHealth United General Medical Center | — | $725 | $1,115 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $257 – $309 | $835 – $1,219 | $1,193 – $1,741 |
| Providence Centralia Hospital | $257 – $412 | $1,497 | $2,879 |
| Providence Holy Family Hospital | $257 – $283 | $835 – $1,219 | $1,193 – $1,741 |
| Providence Mount Carmel Hospital | — | $835 – $1,219 | $1,193 – $1,741 |
| Providence Regional Medical Center Everett | $257 – $283 | — | — |
| Providence St Joseph Hospital | — | $835 – $1,219 | $1,193 – $1,741 |
| Providence St Mary Medical Center | $257 – $283 | $1,787 – $2,608 | $2,553 – $3,726 |
| Providence St Peter Hospital | $257 – $412 | $1,096 – $1,497 | $2,108 – $2,879 |
| Seattle Children's Hospital | — | $2,779 – $3,235 | $2,779 – $3,235 |
| St Anthony Hospital | $495 – $569 | $138 – $1,613 | $454 – $5,302 |
| St Clare Hospital | $509 – $586 | $131 – $1,528 | $454 – $5,302 |
| St Elizabeth Hospital | $81.69 – $1,166 | $160 – $1,874 | $454 – $5,302 |
| St Francis Community Hospital | $486 – $559 | $142 – $1,664 | $454 – $5,302 |
| St Joseph Medical Center | $495 – $569 | $150 – $1,756 | $454 – $5,302 |
| St Michael Medical Center | $456 – $549 | $200 – $2,340 | $454 – $5,302 |
| Swedish Edmonds Hospital | $257 – $309 | $813 – $1,186 | $1,693 – $2,471 |
| Swedish Issaquah | $257 – $309 | $1,186 | $2,471 |
| Swedish Medical Center | $257 – $309 | $813 – $1,186 | $1,693 – $2,471 |
| Swedish Medical Center / Cherry Hill | $257 – $309 | $1,186 | $2,471 |
| Tacoma General Allenmore Hospital | $252 – $278 | $463 – $648 | $1,156 – $1,619 |
| University of Washington Medical Ctr | $432 – $475 | — | — |
| Virginia Mason Medical Center | $302 – $454 | $645 | $1,265 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $252 – $283 | $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