HCPCS J3360
Injection, diazepam, up to 5 mg
Current code51 hospitals with prices
What Washington hospitals publish for this code
Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.
| Hospital | Medicare (traditional) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $101 | $101 |
| Capital Medical Center | — | $16.67 – $50.00 | $41.67 – $125 |
| Cascade Medical Center | $5.50 | $7.60 | $9.50 |
| Cascade Valley Hospital | — | $54.75 – $75.37 | $68.44 – $94.21 |
| Deaconess Medical Center | — | $36.00 – $72.00 | $90.00 – $180 |
| EvergreenHealth Monroe | — | $203 | $254 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $39.87 – $199 | $131 – $652 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $36.52 – $44.07 | $52.17 – $62.95 |
| Legacy Salmon Creek Medical Center | — | — | — |
| 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 |
| Olympic Medical Center | — | $96.33 | $120 |
| Overlake Hospital Medical Center & Clinics | — | $5.80 – $49.78 | $11.60 – $99.57 |
| PeaceHealth Peace Island Medical Center | — | $52.42 – $102 | $80.65 – $156 |
| PeaceHealth Southwest Medical Cente | — | $17.42 – $225 | $26.80 – $346 |
| PeaceHealth St John Medical Center | — | $52.00 – $102 | $80.00 – $156 |
| PeaceHealth St Joseph Medical Center | — | $63.15 – $130 | $97.15 – $200 |
| PeaceHealth United General Medical Center | — | $52.52 – $102 | $80.80 – $156 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $75.71 – $118 | $108 – $168 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $75.71 – $118 | $108 – $168 |
| Providence Mount Carmel Hospital | — | $75.71 – $118 | $108 – $168 |
| Providence Regional Medical Center Everett | — | — | — |
| 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 | — | $8.00 – $75.37 | $10.00 – $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 | $28.36 – $81.11 | $120 | $120 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $7.32 – $25.63 | $14.36 – $50.25 |
| Wellfound Behavioral Health Hospital | — | $5.58 – $16.74 | $13.95 – $41.85 |
| WhidbeyHealth Medical Center | — | $8.00 | $8.00 |
| Yakima Valley Memorial | — | $12.16 – $39.86 | $30.40 – $99.65 |
Medicare (traditional) reference
CMS publishes no national amount for this code.