HCPCS J2916
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg
Current code40 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 | — | $2.08 – $7.87 | $5.19 – $19.67 |
| Cascade Valley Hospital | $2,700 – $5,321 | $216 – $288 | $270 – $360 |
| Deaconess Medical Center | — | $2.31 – $9.42 | $5.77 – $23.53 |
| EvergreenHealth Medical Center | — | $209 | $261 |
| EvergreenHealth Monroe | — | $209 | $261 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $63.44 – $274 | $208 – $897 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $34.61 – $120 | $49.44 – $171 |
| Legacy Salmon Creek Medical Center | — | — | — |
| MultiCare Auburn Medical Center | — | $3.48 – $4.89 | $8.69 – $12.21 |
| MultiCare Covington Medical Center | — | $3.50 – $4.95 | $8.74 – $12.36 |
| MultiCare Good Samaritan Hospital | — | $3.48 – $4.88 | $8.70 – $12.20 |
| MultiCare Valley Hospital | — | $4.83 – $6.99 | $12.07 – $17.46 |
| Olympic Medical Center | — | $71.57 | $89.46 |
| Overlake Hospital Medical Center & Clinics | — | $9.75 – $111 | $19.50 – $221 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $79.86 – $324 | $114 – $464 |
| Providence Centralia Hospital | — | $66.83 – $169 | $129 – $325 |
| Providence Holy Family Hospital | — | $79.86 – $324 | $114 – $464 |
| Providence Mount Carmel Hospital | — | $79.86 – $144 | $114 – $206 |
| Providence Regional Medical Center Everett | — | $47.04 | $90.47 |
| Providence St Joseph Hospital | — | $79.86 – $144 | $114 – $206 |
| Providence St Mary Medical Center | — | $44.04 – $47.94 | $62.92 – $68.49 |
| Providence St Peter Hospital | — | $66.83 – $169 | $129 – $325 |
| Skagit Valley Hospital | — | $216 – $288 | $270 – $360 |
| St Anthony Hospital | — | $63.19 – $273 | $208 – $897 |
| St Clare Hospital | — | $59.89 – $258 | $208 – $897 |
| St Elizabeth Hospital | $37.40 – $197 | $73.42 – $317 | $208 – $897 |
| St Francis Community Hospital | — | $65.20 – $281 | $208 – $897 |
| St Joseph Medical Center | — | $68.81 – $297 | $208 – $897 |
| St Michael Medical Center | — | $91.70 – $396 | $208 – $897 |
| Swedish Edmonds Hospital | — | $36.04 | $75.08 |
| Swedish Issaquah | — | $36.04 | $75.08 |
| Swedish Medical Center | — | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | — | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | — | $2.08 – $14.08 | $5.19 – $35.18 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $3.99 – $4.69 | $7.83 – $9.20 |
| WhidbeyHealth Medical Center | — | $82.00 | $82.00 |
| Yakima Valley Memorial | — | $3.95 – $12.09 | $9.86 – $30.21 |
Medicare (traditional) reference
CMS publishes no national amount for this code.