HCPCS J3360
Injection, diazepam, up to 5 mg
Current code51 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) |
|---|---|---|---|
| BHC Fairfax Hospital | $60.60 | $101 | $101 |
| Capital Medical Center | — | $16.67 – $50.00 | $41.67 – $125 |
| Cascade Medical Center | $5.31 – $78.24 | $7.60 – $74.87 | $9.50 – $93.59 |
| Cascade Valley Hospital | $695 – $864 | $54.75 – $75.37 | $68.44 – $94.21 |
| Deaconess Medical Center | — | $36.00 – $72.00 | $90.00 – $180 |
| EvergreenHealth Monroe | — | $203 | $254 |
| Highline Medical Center | — | $39.87 – $199 | $131 – $652 |
| Kadlec Regional Medical Center | — | $36.52 – $44.07 | $52.17 – $62.95 |
| Mary Bridge Children's Hospital | — | $19.67 – $59.00 | $49.17 – $148 |
| MultiCare Auburn Medical Center | — | $25.00 – $50.00 | $62.50 – $125 |
| MultiCare Covington Medical Center | — | $25.00 – $50.00 | $62.50 – $125 |
| MultiCare Good Samaritan Hospital | — | $12.50 – $50.00 | $31.25 – $125 |
| MultiCare Valley Hospital | — | $36.00 – $72.00 | $90.00 – $180 |
| Navos - Inpatient Services | — | $25.00 | $62.50 |
| Olympic Medical Center | — | $96.33 | $120 |
| Overlake Hospital Medical Center & Clinics | — | $5.80 – $49.78 | $11.60 – $99.57 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $75.71 – $118 | $108 – $168 |
| Providence Holy Family Hospital | — | $75.71 – $118 | $108 – $168 |
| Providence Mount Carmel Hospital | — | $75.71 – $118 | $108 – $168 |
| Providence St Joseph Hospital | — | $75.71 – $118 | $108 – $168 |
| Providence St Mary Medical Center | — | $17.26 – $65.00 | $24.65 – $92.85 |
| Providence St Peter Hospital | — | $48.35 – $88.63 | $92.98 – $170 |
| Seattle Children's Hospital | — | $170 – $270 | $170 – $270 |
| Skagit Valley Hospital | — | $54.75 – $75.37 | $68.44 – $94.21 |
| St Anthony Hospital | — | $39.71 – $198 | $131 – $652 |
| St Clare Hospital | — | $37.63 – $188 | $131 – $652 |
| St Elizabeth Hospital | — | $46.14 – $231 | $131 – $652 |
| St Francis Community Hospital | — | $40.97 – $205 | $131 – $652 |
| St Joseph Medical Center | — | $43.24 – $216 | $131 – $652 |
| St Michael Medical Center | — | $57.62 – $288 | $131 – $652 |
| Swedish Edmonds Hospital | — | $42.59 | $88.73 |
| Swedish Issaquah | — | $42.59 | $88.73 |
| Swedish Medical Center | — | $42.59 | $88.73 |
| Swedish Medical Center / Cherry Hill | — | $42.59 | $88.73 |
| Tacoma General Allenmore Hospital | — | $1.79 – $50.05 | $4.46 – $125 |
| Three Rivers Hospital | — | $120 | $120 |
| Virginia Mason Medical Center | — | $7.32 – $25.63 | $14.36 – $50.25 |
| Wellfound Behavioral Health Hospital | — | $5.58 – $16.74 | $13.95 – $41.85 |
| Yakima Valley Memorial | — | $12.16 – $39.86 | $30.40 – $99.65 |
Medicare (traditional) reference
CMS publishes no national amount for this code.