HCPCS J3372
Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg
Retired code26 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 | $5.83 – $10.52 | — | — |
| Cascade Valley Hospital | $6.32 – $3,375 | $59.52 – $242 | $74.40 – $303 |
| Deaconess Medical Center | $10.52 – $28.95 | — | — |
| Harborview Medical Center | $7.04 | — | — |
| Kadlec Regional Medical Center | $6.58 – $24.24 | — | — |
| Mary Bridge Children's Hospital | $10.52 – $51.04 | — | — |
| MultiCare Auburn Medical Center | $7.78 – $30.05 | — | — |
| MultiCare Covington Medical Center | $7.78 – $30.05 | — | — |
| MultiCare Good Samaritan Hospital | $10.52 – $30.05 | — | — |
| MultiCare Valley Hospital | $9.72 – $28.88 | — | — |
| Overlake Hospital Medical Center & Clinics | $11.87 – $19.06 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5.13 – $14.04 | — | — |
| Providence Centralia Hospital | $6.48 – $41.95 | — | — |
| Providence Holy Family Hospital | $6.58 – $14.04 | — | — |
| Providence Regional Medical Center Everett | $5.59 – $14.04 | — | — |
| Providence St Mary Medical Center | $6.48 – $40.05 | — | — |
| Providence St Peter Hospital | $6.48 – $14.60 | — | — |
| Skagit Valley Hospital | $10.74 – $287 | $59.52 – $242 | $74.40 – $303 |
| Swedish Edmonds Hospital | $7.24 – $12.09 | — | — |
| Swedish Issaquah | $6.48 – $12.96 | — | — |
| Swedish Medical Center | $6.48 – $15.06 | — | — |
| Swedish Medical Center / Cherry Hill | $6.48 – $15.06 | — | — |
| Tacoma General Allenmore Hospital | $7.78 – $30.05 | — | — |
| University of Washington Medical Ctr | $7.04 – $10.37 | — | — |
| Virginia Mason Medical Center | $6.42 – $19.22 | — | — |
| Yakima Valley Memorial | $12.96 – $18.04 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.