HCPCS J3486

Injection, ziprasidone mesylate, 10 mg

Current code42 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J3486 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$44.67 – $52.012 plans$24.48$61.19
Cascade Valley HospitalArlington$9.03 – $9168 plans$84.99$106
Deaconess Medical CenterSpokaneFile dated 2026-08-27$35.09 – $1135 plans$37.78 – $61.78$94.45 – $154
Harborview Medical CenterSeattleFile dated 2026-04-01$10.791 plan——
Highline Medical CenterBurienFile dated 2026-02-28$106 – $4455 plans$75.49 – $151$247 – $494
Island HospitalAnacortes$9.152 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$8.93 – $27.324 plans$45.75 – $234$65.36 – $334
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$10.75 – $16.394 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$49.56 – $62.466 plans$30.70$76.73
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$46.72 – $74.102 plans$25.60 – $40.60$64.00 – $102
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$46.722 plans$25.60$64.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$18.37 – $68.005 plans$19.78 – $37.78$49.45 – $94.45
Olympic Medical CenterPort AngelesFile dated 2026-06-24$65.16 – $1176 plans$93.26$117
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$13.37 – $14.243 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$56.15 – $62.58$86.39 – $96.27
PeaceHealth Southwest Medical CenteVancouver$14.181 plan$56.15 – $62.58$86.39 – $96.27
PeaceHealth St John Medical CenterLongview$15.921 plan$56.15 – $62.58$86.39 – $96.27
PeaceHealth St Joseph Medical CenterBellingham$15.841 plan$47.06 – $62.58$72.40 – $96.27
PeaceHealth United General Medical CenterSedro Woolley—$56.15 – $62.58$86.39 – $96.27
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$9.58 – $15.823 plans$124 – $658$177 – $939
Providence Centralia HospitalCentraliaFile dated 2026-04-01$19.93 – $33.254 plans$87.62$169
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$9.58 – $15.823 plans$124 – $658$177 – $939
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$9.58 – $15.824 plans$60.78 – $68.70$117 – $132
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$15.82 – $49.952 plans$68.47 – $91.55$97.82 – $131
Providence St Peter HospitalOlympiaFile dated 2026-04-01$9.58 – $16.452 plans$87.62 – $98.85$169 – $190
Skagit Valley HospitalMount Vernon$15.33 – $1017 plans$84.99$106
St Anthony HospitalGig HarborFile dated 2026-02-28$124 – $3713 plans$75.19 – $150$247 – $494
St Clare HospitalLakewoodFile dated 2026-02-28$124 – $3713 plans$71.26 – $143$247 – $494
St Elizabeth HospitalEnumclawFile dated 2026-02-28$9.48 – $4458 plans$87.36 – $175$247 – $494
St Francis Community HospitalFederal WayFile dated 2026-02-28$124 – $3713 plans$77.58 – $155$247 – $494
St Joseph Medical CenterTacomaFile dated 2026-02-28$124 – $3713 plans$81.88 – $164$247 – $494
St Michael Medical CenterSilverdaleFile dated 2026-02-28$16.16 – $44510 plans$109 – $218$247 – $494
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$6.28 – $10.564 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$6.28 – $10.563 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$9.58 – $10.562 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$9.58 – $10.562 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$46.72 – $1132 plans$25.60 – $62.18$64.00 – $155
Three Rivers HospitalBrewster—$218$218
University of Washington Medical CtrSeattleFile dated 2026-04-01$10.791 plan——
Virginia Mason Medical CenterSeattle$17.57 – $41.909 plans$14.93$29.28
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$9.28 – $28.16$23.20 – $70.40
Yakima Valley MemorialYakimaFile dated 2026-08-27$16.54 – $1337 plans$25.60 – $62.18$64.00 – $155

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.