HCPCS J9220

Injection, indigotindisulfonate sodium, 1 mg

Current code30 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J9220 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$9.11 – $10.036 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$9.11 – $10.038 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$9.96 – $10.955 plans——
Highline Medical CenterBurienFile dated 2026-02-28—$39.82 – $99.52$130 – $326
Island HospitalAnacortes$11.63 – $12.3311 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$9.58 – $10.426 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$9.11 – $10.037 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$9.11 – $10.037 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$9.11 – $10.037 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$9.11 – $10.037 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$9.39 – $10.037 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$12.21 – $15.705 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,304$1,863
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,304$1,863
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$453$871
St Anthony HospitalGig HarborFile dated 2026-02-28—$39.67 – $99.13$130 – $326
St Clare HospitalLakewoodFile dated 2026-02-28—$37.59 – $93.94$130 – $326
St Elizabeth HospitalEnumclawFile dated 2026-02-28$23.48 – $71.7012 plans$46.08 – $115$130 – $326
St Francis Community HospitalFederal WayFile dated 2026-02-28—$40.93 – $102$130 – $326
St Joseph Medical CenterTacomaFile dated 2026-02-28—$43.19 – $108$130 – $326
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$57.56 – $144$130 – $326
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$866$1,805
Swedish IssaquahIssaquahFile dated 2026-04-01—$866$1,805
Swedish Medical CenterSeattleFile dated 2026-04-01—$866$1,805
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$866$1,805
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$9.11 – $10.037 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$9.96 – $10.955 plans——
Virginia Mason Medical CenterSeattle$6.97 – $10.469 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$9.11 – $10.218 plans——

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$8.15 (APC 0821)
Surgery center payment (national)
$8.15