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HCPCS J2804

Injection, rifampin, 1 mg

Current code24 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)
Highline Medical CenterBurienFile dated 2026-02-28—$155 – $196$508 – $641
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$388 – $534$554 – $763
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$630$787
PeaceHealth Peace Island Medical CenterFriday Harbor—$218 – $344$335 – $529
PeaceHealth Southwest Medical CenteVancouver—$218 – $344$335 – $529
PeaceHealth St John Medical CenterLongview—$218 – $344$335 – $529
PeaceHealth St Joseph Medical CenterBellingham—$218 – $344$335 – $529
PeaceHealth United General Medical CenterSedro Woolley—$218 – $344$335 – $529
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$678 – $1,482$968 – $2,117
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$577$1,109
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$678 – $1,482$968 – $2,117
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$857$1,224
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$577 – $711$1,109 – $1,367
Seattle Children's HospitalSeattle—$1,211$1,211
St Anthony HospitalGig HarborFile dated 2026-02-28—$155 – $195$508 – $641
St Clare HospitalLakewoodFile dated 2026-02-28—$147 – $185$508 – $641
St Elizabeth HospitalEnumclawFile dated 2026-02-28$142 – $2135 plans$180 – $226$508 – $641
St Francis Community HospitalFederal WayFile dated 2026-02-28—$160 – $201$508 – $641
St Joseph Medical CenterTacomaFile dated 2026-02-28—$168 – $212$508 – $641
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$224 – $283$508 – $641
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$390$812
Swedish IssaquahIssaquahFile dated 2026-04-01—$390 – $455$812 – $948
Swedish Medical CenterSeattleFile dated 2026-04-01—$390 – $455$812 – $948
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$390 – $455$812 – $948

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.