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HCPCS C9254

Injection, lacosamide, 1 mg

Current code36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27——$1.20 – $1.80
Highline Medical CenterBurienFile dated 2026-02-28—$31.21 – $125$102 – $409
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$36.52 – $353$52.17 – $504
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1.18 – $8.43$1.07 – $21.07
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27——$1.25
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1.00$1.25 – $2.50
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27——$1.80
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$140$174
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$19.50 – $104$39.00 – $207
PeaceHealth Peace Island Medical CenterFriday Harbor—$53.88 – $67.26$82.89 – $103
PeaceHealth Southwest Medical CenteVancouver—$53.88 – $67.26$82.89 – $103
PeaceHealth St John Medical CenterLongview—$53.88 – $67.26$82.89 – $103
PeaceHealth St Joseph Medical CenterBellingham—$53.88 – $67.26$82.89 – $103
PeaceHealth United General Medical CenterSedro Woolley—$53.88 – $67.26$82.89 – $103
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$245 – $797$350 – $1,139
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$51.63$99.28
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$245 – $797$350 – $1,139
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$75.71 – $222$108 – $317
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$74.92$144
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$75.71 – $222$108 – $317
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$13.52 – $164$19.31 – $234
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$51.31 – $51.65$98.68 – $99.32
Seattle Children's HospitalSeattle$39.631 plan$157$157
St Anthony HospitalGig HarborFile dated 2026-02-28—$31.09 – $124$102 – $409
St Clare HospitalLakewoodFile dated 2026-02-28—$29.46 – $118$102 – $409
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$36.12 – $144$102 – $409
St Francis Community HospitalFederal WayFile dated 2026-02-28—$32.08 – $128$102 – $409
St Joseph Medical CenterTacomaFile dated 2026-02-28—$33.85 – $135$102 – $409
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$45.11 – $180$102 – $409
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$42.59 – $245$88.73 – $511
Swedish IssaquahIssaquahFile dated 2026-04-01—$61.26 – $245$128 – $511
Swedish Medical CenterSeattleFile dated 2026-04-01—$42.59 – $245$88.73 – $511
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$42.59 – $245$88.73 – $511
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1.00$1.25 – $2.50
Virginia Mason Medical CenterSeattle——$1.31
Yakima Valley MemorialYakimaFile dated 2026-08-27——$2.23 – $2.32

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

CMS publishes no national amount for this code.