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Acetazolamide Injection

Oregon rates for HCPCS J1120

Injection, acetazolamide sodium, up to 500 mg

Rates data updated October 2026.

How much does Acetazolamide Injection cost?

$28.18per 500 mg

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $28.18 for each 500 mg of this drug. The price depends on where it is billed: about $28.18 from a physician practice, and about $30.90 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 500 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$28.18
At a hospital outpatient department
$30.90

The same drug, in the same amount, costs 10% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$24.55 to $32.36
FacilityA hospital or hospital-owned outpatient department$30.90$24.55 to $40.74

How much rates vary

Facilitymedian $31 · 10th to 90th $20 to $51Professionalmedian $28 · 10th to 90th $25 to $63
$20$50facility $31professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$37.15
Typical High
$60.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$28.18
Typical High
$31.62
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$58.88
Typical High
$63.10
Moda Health
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$30.90
Typical High
$51.29
Moda Health
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$28.18
Typical High
$36.31
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$22.91
Typical High
$41.69
Providence
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$38.02
Typical High
$60.26
Providence
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$30.20
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55

Where Oregon sits

The same service costs 2.2 times more in Alaska than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 18th of 51

$28.18

AK $48.98OK $22.39

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.