HCPCS J2765
Injection, metoclopramide hcl, up to 10 mg
Current code49 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) |
|---|---|---|---|
| BHC Fairfax Hospital | $6.08 – $11.20 | $16.00 | $16.00 |
| Capital Medical Center | $1.46 – $67.66 | $31.84 | $2.00 – $79.60 |
| Cascade Valley Hospital | $1.11 – $361 | $4.61 – $17.38 | $5.76 – $21.73 |
| Deaconess Medical Center | $1.40 – $91.98 | $30.50 – $50.40 | $2.00 – $126 |
| EvergreenHealth Monroe | $18.90 – $27.90 | $24.00 | $30.00 |
| Harborview Medical Center | $1.21 | — | — |
| Highline Medical Center | $74.22 – $370 | $52.71 – $125 | $173 – $411 |
| Island Hospital | $1.08 – $4.75 | $4.00 – $5.00 | $4.00 – $5.00 |
| Kadlec Regional Medical Center | $1.40 – $3.91 | $34.61 | $49.44 |
| Legacy Salmon Creek Medical Center | $1.71 – $2.62 | — | $1.00 |
| Mary Bridge Children's Hospital | $1.29 – $76.64 | $36.06 – $37.66 | $2.00 – $94.15 |
| MultiCare Auburn Medical Center | $1.46 – $58.11 | $31.19 – $31.84 | $2.00 – $79.60 |
| MultiCare Covington Medical Center | $1.46 – $58.11 | $31.20 – $31.84 | $2.00 – $79.60 |
| MultiCare Good Samaritan Hospital | $1.46 – $58.11 | $16.84 – $31.84 | $2.00 – $79.60 |
| MultiCare Valley Hospital | $1.40 – $98.10 | $49.69 – $54.50 | $2.00 – $136 |
| Olympic Medical Center | $28.62 – $51.20 | $40.96 | $51.20 |
| Overlake Hospital Medical Center & Clinics | $1.92 – $2.04 | $5.65 – $9.75 | $11.30 – $19.50 |
| PeaceHealth Peace Island Medical Center | — | $39.50 – $41.60 | $60.77 – $64.00 |
| PeaceHealth Southwest Medical Cente | $1.68 | $39.50 – $41.60 | $60.77 – $64.00 |
| PeaceHealth St John Medical Center | $1.88 | $39.50 – $41.60 | $60.77 – $64.00 |
| PeaceHealth St Joseph Medical Center | $1.87 | $39.50 – $41.60 | $60.77 – $64.00 |
| PeaceHealth United General Medical Center | — | $39.50 – $41.60 | $60.77 – $64.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.36 – $2.26 | $70.66 | $101 |
| Providence Centralia Hospital | $2.85 – $7.21 | $41.55 | $79.90 |
| Providence Holy Family Hospital | $1.36 – $2.26 | $70.66 | $101 |
| Providence Mount Carmel Hospital | — | $70.66 | $101 |
| Providence Regional Medical Center Everett | $1.36 – $2.26 | $39.74 | $76.43 |
| Providence St Joseph Hospital | — | $70.66 | $101 |
| Providence St Mary Medical Center | $2.26 – $5.70 | $30.00 | $42.86 |
| Providence St Peter Hospital | $2.08 – $2.35 | $41.55 – $43.25 | $79.90 – $83.17 |
| Seattle Children's Hospital | $17.17 – $30.53 | $31.80 | $31.80 |
| Skagit Valley Hospital | $1.09 – $20.64 | $4.61 – $17.38 | $5.76 – $21.73 |
| St Anthony Hospital | $86.30 – $308 | $52.50 – $125 | $173 – $411 |
| St Clare Hospital | $86.30 – $308 | $49.76 – $118 | $173 – $411 |
| St Elizabeth Hospital | $1.27 – $370 | $61.00 – $145 | $173 – $411 |
| St Francis Community Hospital | $86.30 – $308 | $54.17 – $129 | $173 – $411 |
| St Joseph Medical Center | $86.30 – $308 | $57.17 – $136 | $173 – $411 |
| St Michael Medical Center | $1.85 – $370 | $76.18 – $181 | $173 – $411 |
| Swedish Edmonds Hospital | $1.36 – $2.08 | $36.04 | $75.08 |
| Swedish Issaquah | $1.36 – $2.08 | $36.04 | $75.08 |
| Swedish Medical Center | $1.36 – $2.08 | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | $1.36 – $2.08 | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | $1.46 – $68.73 | $16.84 – $37.66 | $2.00 – $94.15 |
| Three Rivers Hospital | — | $27.83 | $27.83 |
| University of Washington Medical Ctr | $1.21 | — | — |
| Virginia Mason Medical Center | $2.16 – $3.39 | $2.12 – $2.16 | $4.16 – $4.24 |
| WhidbeyHealth Medical Center | — | $4.00 | $4.00 |
| Yakima Valley Memorial | $2.37 – $16.97 | $7.46 – $7.92 | $18.65 – $19.80 |
Medicare (traditional) reference
CMS publishes no national amount for this code.