HCPCS J3355
Injection, urofollitropin, 75 iu
Retired code21 hospitals with prices
This code is retired. Some hospitals still list it.
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) |
|---|---|---|---|
| Capital Medical Center | $70.73 – $761 | — | — |
| Deaconess Medical Center | $332 | — | — |
| Harborview Medical Center | $126 | — | — |
| Kadlec Regional Medical Center | $178 – $225 | — | — |
| Legacy Salmon Creek Medical Center | $133 | — | — |
| Mary Bridge Children's Hospital | $181 – $985 | — | — |
| MultiCare Auburn Medical Center | $66.63 – $920 | — | — |
| MultiCare Covington Medical Center | $66.63 – $920 | — | — |
| MultiCare Good Samaritan Hospital | $920 | — | — |
| MultiCare Valley Hospital | $110 – $332 | — | — |
| Overlake Hospital Medical Center & Clinics | $118 – $364 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $255 | — | — |
| Providence Centralia Hospital | $178 – $322 | — | — |
| Providence Holy Family Hospital | $255 | — | — |
| Providence Regional Medical Center Everett | $255 | — | — |
| Providence St Mary Medical Center | $255 | — | — |
| Providence St Peter Hospital | $266 | — | — |
| Tacoma General Allenmore Hospital | $66.63 – $920 | — | — |
| University of Washington Medical Ctr | $126 | — | — |
| Virginia Mason Medical Center | $198 – $225 | — | — |
| Yakima Valley Memorial | $79.20 – $146 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.