HCPCS J3520
Edetate disodium, per 150 mg
Current code12 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 | $1.78 – $2.74 | — | — |
| Deaconess Medical Center | $1.20 – $1.78 | — | — |
| Kadlec Regional Medical Center | $1.22 – $7.92 | — | — |
| Mary Bridge Children's Hospital | $3.55 | — | — |
| MultiCare Auburn Medical Center | $1.78 – $3.32 | — | — |
| MultiCare Covington Medical Center | $1.78 – $3.32 | — | — |
| MultiCare Good Samaritan Hospital | $1.78 – $3.32 | — | — |
| MultiCare Valley Hospital | $1.20 – $1.78 | — | — |
| Overlake Hospital Medical Center & Clinics | $1.31 – $2.51 | — | — |
| Providence Centralia Hospital | $1.22 | — | — |
| Tacoma General Allenmore Hospital | $1.78 – $3.32 | — | — |
| Virginia Mason Medical Center | $3.97 – $4.51 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.