HCPCS J3475
Injection, magnesium sulfate, per 500 mg
Current code45 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $2.76 – $16.86 | $2.23 – $42.15 |
| Cascade Valley Hospital | $6.40 – $80.37 | $5.12 – $64.30 | $6.40 – $80.37 |
| Deaconess Medical Center | — | $1.39 – $26.04 | $1.96 – $65.08 |
| EvergreenHealth Medical Center | — | $8.00 – $82.40 | $10.00 – $103 |
| EvergreenHealth Monroe | — | $11.20 – $123 | $14.00 – $154 |
| Highline Medical Center | — | $13.65 – $86.57 | $44.70 – $284 |
| Kadlec Regional Medical Center | — | $34.61 – $57.65 | $49.44 – $82.36 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $10.04 – $37.10 | $25.10 – $92.75 |
| MultiCare Auburn Medical Center | — | $2.74 – $16.44 | $2.14 – $41.10 |
| MultiCare Covington Medical Center | — | $4.20 – $16.44 | $10.48 – $41.10 |
| MultiCare Good Samaritan Hospital | — | $2.76 – $30.80 | $2.23 – $77.00 |
| MultiCare Valley Hospital | — | $1.39 – $25.88 | $3.46 – $64.70 |
| Olympic Medical Center | — | $40.50 – $103 | $50.63 – $129 |
| Overlake Hospital Medical Center & Clinics | — | $4.88 – $30.26 | $1.56 – $60.53 |
| PeaceHealth Peace Island Medical Center | — | $39.95 – $133 | $61.46 – $204 |
| PeaceHealth Southwest Medical Cente | — | $39.95 – $133 | $61.46 – $204 |
| PeaceHealth St John Medical Center | — | $39.33 – $133 | $60.50 – $204 |
| PeaceHealth St Joseph Medical Center | — | $39.95 – $263 | $61.46 – $404 |
| PeaceHealth United General Medical Center | — | $39.95 – $139 | $61.46 – $214 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $101 | $101 – $144 |
| Providence Centralia Hospital | — | $42.97 – $72.03 | $82.63 – $139 |
| Providence Holy Family Hospital | — | $70.66 – $101 | $101 – $144 |
| Providence Mount Carmel Hospital | — | $70.66 – $168 | $101 – $241 |
| Providence Regional Medical Center Everett | — | $37.61 – $82.01 | $72.32 – $158 |
| Providence St Joseph Hospital | — | $70.66 – $108 | $101 – $154 |
| Providence St Mary Medical Center | — | $30.00 – $92.93 | $42.86 – $133 |
| Providence St Peter Hospital | — | $40.65 – $72.03 | $78.18 – $139 |
| Seattle Children's Hospital | $7.84 – $35.40 | $30.50 – $109 | $30.50 – $109 |
| Skagit Valley Hospital | — | $5.12 – $64.30 | $6.40 – $80.37 |
| St Anthony Hospital | — | $13.60 – $86.23 | $44.70 – $284 |
| St Clare Hospital | — | $12.89 – $81.72 | $44.70 – $284 |
| St Elizabeth Hospital | $7.60 – $58.69 | $15.80 – $100 | $44.70 – $284 |
| St Francis Community Hospital | — | $14.03 – $88.97 | $44.70 – $284 |
| St Joseph Medical Center | — | $14.81 – $93.90 | $44.70 – $284 |
| St Michael Medical Center | — | $19.73 – $125 | $44.70 – $284 |
| Swedish Edmonds Hospital | — | $36.04 – $55.69 | $75.08 – $116 |
| Swedish Issaquah | — | $36.04 – $55.69 | $75.08 – $116 |
| Swedish Medical Center | — | $36.04 – $55.69 | $75.08 – $116 |
| Swedish Medical Center / Cherry Hill | — | $36.04 – $55.69 | $75.08 – $116 |
| Tacoma General Allenmore Hospital | — | $2.26 – $30.86 | $2.23 – $77.15 |
| Virginia Mason Medical Center | — | $1.13 – $6.17 | $1.36 – $12.10 |
| WhidbeyHealth Medical Center | — | $60.00 | $60.00 |
| Yakima Valley Memorial | — | $2.32 – $23.52 | $1.69 – $58.80 |
Medicare (traditional) reference
CMS publishes no national amount for this code.