HCPCS J3486
Injection, ziprasidone mesylate, 10 mg
Current code42 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) |
|---|---|---|---|
| Capital Medical Center | — | $24.48 | $61.19 |
| Cascade Valley Hospital | — | $84.99 | $106 |
| Deaconess Medical Center | — | $37.78 – $61.78 | $94.45 – $154 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $75.49 – $151 | $247 – $494 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $45.75 – $234 | $65.36 – $334 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $30.70 | $76.73 |
| MultiCare Auburn Medical Center | — | $25.60 – $40.60 | $64.00 – $102 |
| MultiCare Good Samaritan Hospital | — | $25.60 | $64.00 |
| MultiCare Valley Hospital | — | $19.78 – $37.78 | $49.45 – $94.45 |
| Olympic Medical Center | — | $93.26 | $117 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $56.15 – $62.58 | $86.39 – $96.27 |
| PeaceHealth Southwest Medical Cente | — | $56.15 – $62.58 | $86.39 – $96.27 |
| PeaceHealth St John Medical Center | — | $56.15 – $62.58 | $86.39 – $96.27 |
| PeaceHealth St Joseph Medical Center | — | $47.06 – $62.58 | $72.40 – $96.27 |
| PeaceHealth United General Medical Center | — | $56.15 – $62.58 | $86.39 – $96.27 |
| 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 | — | $84.99 | $106 |
| St Anthony Hospital | — | $75.19 – $150 | $247 – $494 |
| St Clare Hospital | — | $71.26 – $143 | $247 – $494 |
| St Elizabeth Hospital | — | $87.36 – $175 | $247 – $494 |
| St Francis Community Hospital | — | $77.58 – $155 | $247 – $494 |
| St Joseph Medical Center | — | $81.88 – $164 | $247 – $494 |
| St Michael Medical Center | — | $109 – $218 | $247 – $494 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $25.60 – $62.18 | $64.00 – $155 |
| Three Rivers Hospital | $145 – $147 | $218 | $218 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $14.93 | $29.28 |
| Wellfound Behavioral Health Hospital | — | $9.28 – $28.16 | $23.20 – $70.40 |
| Yakima Valley Memorial | — | $25.60 – $62.18 | $64.00 – $155 |
Medicare (traditional) reference
CMS publishes no national amount for this code.