HCPCS J2804
Injection, rifampin, 1 mg
Current code24 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) |
|---|---|---|---|
| Highline Medical Center | — | $155 – $196 | $508 – $641 |
| Kadlec Regional Medical Center | — | $388 – $534 | $554 – $763 |
| Olympic Medical Center | — | $630 | $787 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $678 – $1,482 | $968 – $2,117 |
| Providence Centralia Hospital | — | $577 | $1,109 |
| Providence Holy Family Hospital | — | $678 – $1,482 | $968 – $2,117 |
| Providence St Mary Medical Center | — | $857 | $1,224 |
| Providence St Peter Hospital | — | $577 – $711 | $1,109 – $1,367 |
| Seattle Children's Hospital | — | $1,211 | $1,211 |
| St Anthony Hospital | — | $155 – $195 | $508 – $641 |
| St Clare Hospital | — | $147 – $185 | $508 – $641 |
| St Elizabeth Hospital | $91.52 – $141 | $180 – $226 | $508 – $641 |
| St Francis Community Hospital | — | $160 – $201 | $508 – $641 |
| St Joseph Medical Center | — | $168 – $212 | $508 – $641 |
| St Michael Medical Center | — | $224 – $283 | $508 – $641 |
| Swedish Edmonds Hospital | — | $390 | $812 |
| Swedish Issaquah | — | $390 – $455 | $812 – $948 |
| Swedish Medical Center | — | $390 – $455 | $812 – $948 |
| Swedish Medical Center / Cherry Hill | — | $390 – $455 | $812 – $948 |
Medicare (traditional) reference
CMS publishes no national amount for this code.