HCPCS J3095
Injection, telavancin, 10 mg
Current code30 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 | $6.89 – $7.58 | — | — |
| Deaconess Medical Center | $6.89 – $7.58 | — | — |
| Harborview Medical Center | $7.11 – $7.82 | — | — |
| Island Hospital | $8.31 – $8.81 | — | — |
| Kadlec Regional Medical Center | $7.03 – $8.44 | — | — |
| Legacy Salmon Creek Medical Center | $7.24 – $7.88 | — | — |
| Mary Bridge Children's Hospital | $6.89 – $7.58 | — | — |
| MultiCare Auburn Medical Center | $6.89 – $7.58 | — | — |
| MultiCare Covington Medical Center | $6.89 – $7.58 | — | — |
| MultiCare Good Samaritan Hospital | $6.89 – $7.58 | — | — |
| MultiCare Valley Hospital | $7.10 – $7.58 | — | — |
| Olympic Medical Center | $8.73 – $11.22 | — | — |
| Overlake Hospital Medical Center & Clinics | $7.03 – $7.31 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $7.03 – $8.44 | $1,300 | $1,857 |
| Providence Centralia Hospital | $7.03 – $11.25 | — | — |
| Providence Holy Family Hospital | $7.03 – $7.74 | $1,300 | $1,857 |
| Providence Mount Carmel Hospital | — | $1,300 | $1,857 |
| Providence Regional Medical Center Everett | $7.03 – $7.74 | $533 | $1,026 |
| Providence St Joseph Hospital | — | $1,300 | $1,857 |
| Providence St Mary Medical Center | $7.03 – $7.74 | — | — |
| Providence St Peter Hospital | $7.03 – $11.25 | — | — |
| Swedish Edmonds Hospital | $7.03 – $8.44 | — | — |
| Swedish Issaquah | $7.03 – $8.44 | — | — |
| Swedish Medical Center | $7.03 – $8.44 | — | — |
| Swedish Medical Center / Cherry Hill | $7.03 – $8.44 | — | — |
| Tacoma General Allenmore Hospital | $6.89 – $7.58 | — | — |
| University of Washington Medical Ctr | $7.11 – $7.82 | — | — |
| Virginia Mason Medical Center | $4.98 – $7.47 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $6.89 – $7.72 | — | — |
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)
- $8.15 (APC 9258)
- Surgery center payment (national)
- $8.15