What does code J1120 cost?

Across the published hospital price files, the disclosed cash price for J1120 ranges from $30.95 to $3,287. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

J1120 is the billing code hospitals use to identify "Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

J1120

HCPCS

Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code J1120 (Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass) appears at 49 hospitals with disclosed cash prices from $30.95 to $3,287. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J1120 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code J1120 vary by about 106× across the 46 hospitals with disclosed prices here — from $30.95 to $3,287. Shopping around can matter.

Hospitals

Prices shown

$30.95

Lowest cash

$3,287

Highest cash

code J1120 cash price54 disclosed · 46 hospitals

$30.95median ~$48.87$3,287

Lowest cash price by hospital

Atrium Health Lincoln$30.95
Atrium Health Stanly$30.95
Atrium Health Cleveland$34.70
Texas Health Presbyterian Hospital Allen$39.69
Texas Health Harris Methodist Hospital Alliance$39.69
Texas Health Arlington Memorial Hospital$39.69

Cash price by city

Reflects your current filters.

Cash price by city$30.95 – $43.55

Lincolnton · 1 hospital$30.95
Albemarle · 1 hospital$30.95
Kings Mountain · 1 hospital$34.70–$43.55
Allen · 1 hospital$39.69
Fort Worth · 4 hospitals$39.69
Arlington · 2 hospitals$39.69

62 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass Inpatient & outpatient	Endeavor Health Edward Hospital	J1120 HCPCS	$373	$373	—	—
Acetazolamide: 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 CARTON (39822-0191-9) Inpatient & outpatient	Endeavor Health Edward Hospital	J1120 HCPCS	$373	$373	—	—
Acetazolamid sodium injectio Outpatient	Endeavor Health Edward Hospital	J1120 HCPCS	—	—	$72.25 – $72.25	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient	Advocate Christ Medical Center	J1120 HCPCS	$153	$76.71	$67.04 – $123	—
Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial Inpatient & outpatient	University of Chicago Medical Center	J1120 HCPCS	—	—	—	—
Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31) Inpatient & outpatient	University of Chicago Medical Center	J1120 HCPCS	—	—	—	—
Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass Inpatient & outpatient	University of Chicago Medical Center	J1120 HCPCS	—	—	—	—
Acetazolamide: 1 Vial In 1 Carton (67457-853-50) / 5 Ml In 1 Vial Inpatient & outpatient	University of Chicago Medical Center	J1120 HCPCS	—	—	—	—
Acetazolamid sodium injectio Outpatient	University of Chicago Medical Center	J1120 HCPCS	—	—	—	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Outpatient	Advocate Condell Medical Center	J1120 HCPCS	$158	$78.96	$47.30 – $126	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Outpatient	Advocate Good Samaritan Hospital	J1120 HCPCS	$165	$82.27	$39.67 – $197	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Outpatient	Advocate South Suburban Hospital	J1120 HCPCS	$167	$83.66	$39.67 – $198	—
acetaZOLAMIDE Recon Soln 1 Each Vial Outpatient	Froedtert Hospital	J1120 HCPCS	$204	$112	$18.57 – $176	—
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION Inpatient	University of Michigan Health	J1120 HCPCS	$123	$49.35	$53.05 – $131	—
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION Outpatient	University of Michigan Health	J1120 HCPCS	$123	$49.35	$22.43 – $105	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient	Aurora Medical Center Fond du Lac	J1120 HCPCS	$103	$51.73	$62.07 – $87.93	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient	Aurora Lakeland Medical Center	J1120 HCPCS	$96.77	$48.39	$58.06 – $82.25	—
acetaZOLAMIDE Recon Soln 1 Each Vial Inpatient	Froedtert West Bend Hospital	J1120 HCPCS	$301	$165	$150 – $286	—
acetaZOLAMIDE Recon Soln 1 Each Vial Inpatient	Froedtert Community Hospital - Mequon	J1120 HCPCS	$220	$121	$132 – $193	—
acetaZOLAMIDE Recon Soln 1 Each Vial Inpatient	Froedtert Community Hospital - Oak Creek	J1120 HCPCS	$220	$121	$132 – $193	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient	Henderson Hospital	J1120 HCPCS	$230	$69.00	$66.70 – $223	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient	Deaconess Illinois Medical Center	J1120 HCPCS	$374	$71.11	$71.11 – $337	—
ACETAZOLAMIDE 50 MG/ML INJ SOLN (NICU) Inpatient & outpatient	Allen County Regional Hospital	J1120 HCPCS	$2,901	$1,741	$35.45 – $2,843	—
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION Inpatient & outpatient	Allen County Regional Hospital	J1120 HCPCS	$290	$174	$35.45 – $284	—
ACETAZOLAMIDE 50 MG/ML INJ SOLN (NICU) Inpatient & outpatient	Saint Luke's East Hospital	J1120 HCPCS	$5,478	$3,287	$19.84 – $5,478	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J1120 prices

Open a hospital to see this code in the context of its full published prices.

Code J1120: frequently asked

What does code J1120 cost?: Across the published hospital price files, the disclosed cash price for J1120 ranges from $30.95 to $3,287. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J1120?: J1120 is the billing code hospitals use to identify "Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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