HCPCS C9170
Injection, tarlatamab-dlle, 1 mg
Retired codeChemotherapeutic Agent21 hospitals with prices
This code is retired. Some hospitals still list it.
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) |
|---|---|---|---|
| Deaconess Medical Center | $6,891 | — | — |
| Legacy Salmon Creek Medical Center | $1,970 – $2,318 | — | — |
| Mary Bridge Children's Hospital | $12,151 | — | — |
| MultiCare Auburn Medical Center | $7,153 | — | — |
| MultiCare Covington Medical Center | $7,153 | — | — |
| MultiCare Good Samaritan Hospital | $7,153 | — | — |
| MultiCare Valley Hospital | $6,875 | — | — |
| Overlake Hospital Medical Center & Clinics | $3,664 – $4,544 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,318 | — | — |
| Providence Centralia Hospital | $1,545 – $2,318 | — | — |
| Providence Holy Family Hospital | $2,318 | — | — |
| Providence St Mary Medical Center | $1,545 – $2,318 | — | — |
| Providence St Peter Hospital | $1,545 – $2,472 | — | — |
| Swedish Edmonds Hospital | $1,854 | — | — |
| Swedish Issaquah | $1,545 – $3,090 | — | — |
| Swedish Medical Center | $1,545 – $3,090 | — | — |
| Swedish Medical Center / Cherry Hill | $1,545 – $3,090 | — | — |
| Tacoma General Allenmore Hospital | $7,153 | — | — |
| University of Washington Medical Ctr | $2,348 – $2,472 | — | — |
| Virginia Mason Medical Center | $1,545 | — | — |
| Yakima Valley Memorial | $4,295 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.