HCPCS J3486
Injection, ziprasidone mesylate, 10 mg
Current code42 hospitals with prices
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 | $48.95 – $52.01 | $24.48 | $61.19 |
| Cascade Valley Hospital | $9.03 – $916 | $84.99 | $106 |
| Deaconess Medical Center | $67.06 – $113 | $37.78 – $61.78 | $94.45 – $154 |
| Highline Medical Center | $106 – $445 | $75.49 – $151 | $247 – $494 |
| Kadlec Regional Medical Center | — | $45.75 – $234 | $65.36 – $334 |
| Mary Bridge Children's Hospital | $50.18 – $61.38 | $30.70 | $76.73 |
| MultiCare Auburn Medical Center | $37.76 – $74.10 | $25.60 – $40.60 | $64.00 – $102 |
| MultiCare Good Samaritan Hospital | $37.76 – $46.72 | $25.60 | $64.00 |
| MultiCare Valley Hospital | $35.60 – $68.00 | $19.78 – $37.78 | $49.45 – $94.45 |
| Olympic Medical Center | $65.16 – $117 | $93.26 | $117 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $124 – $658 | $177 – $939 |
| Providence Centralia Hospital | — | $87.62 | $169 |
| Providence Holy Family Hospital | — | $124 – $658 | $177 – $939 |
| Providence Regional Medical Center Everett | — | $60.78 – $68.70 | $117 – $132 |
| Providence St Mary Medical Center | — | $68.47 – $91.55 | $97.82 – $131 |
| Providence St Peter Hospital | — | $87.62 – $98.85 | $169 – $190 |
| Skagit Valley Hospital | $15.33 – $101 | $84.99 | $106 |
| St Anthony Hospital | $136 – $371 | $75.19 – $150 | $247 – $494 |
| St Clare Hospital | $136 – $371 | $71.26 – $143 | $247 – $494 |
| St Elizabeth Hospital | $89.00 – $445 | $87.36 – $175 | $247 – $494 |
| St Francis Community Hospital | $136 – $371 | $77.58 – $155 | $247 – $494 |
| St Joseph Medical Center | $136 – $371 | $81.88 – $164 | $247 – $494 |
| St Michael Medical Center | $156 – $445 | $109 – $218 | $247 – $494 |
| Tacoma General Allenmore Hospital | $37.76 – $113 | $25.60 – $62.18 | $64.00 – $155 |
| Three Rivers Hospital | — | $218 | $218 |
| Virginia Mason Medical Center | $18.75 – $23.42 | $14.93 | $29.28 |
| Wellfound Behavioral Health Hospital | $5.18 | $9.28 – $28.16 | $23.20 – $70.40 |
| Yakima Valley Memorial | $35.84 – $87.05 | $25.60 – $62.18 | $64.00 – $155 |
Medicare (traditional) reference
CMS publishes no national amount for this code.