HCPCS J0169

Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg

Current code23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J0169 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$9.29 – $64.642 plans$5.09 – $30.42$12.72 – $76.05
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.18 – $90.415 plans$1.28 – $49.54$1.90 – $124
EvergreenHealth Medical CenterKirkland$10.88 – $31.6214 plans$27.20$34.00
EvergreenHealth MonroeMonroe$63.63 – $93.9314 plans$80.80$101
Island HospitalAnacortes$1.382 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2.14 – $3.263 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.66 – $74.166 plans$1.03 – $36.44$2.56 – $91.10
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2.15 – $4.362 plans$1.18 – $2.39$2.95 – $5.97
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$9.29 – $56.682 plans$5.09 – $31.06$12.72 – $77.65
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.45 – $58.582 plans$1.17 – $32.10$1.98 – $80.25
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3.99 – $13.495 plans$4.30 – $7.50$10.73 – $18.74
PeaceHealth Peace Island Medical CenterFriday Harbor—$53.30$82.00
PeaceHealth Southwest Medical CenteVancouver$2.141 plan$53.30$82.00
PeaceHealth St John Medical CenterLongview$2.411 plan$53.30$82.00
PeaceHealth St Joseph Medical CenterBellingham$2.391 plan$53.30$82.00
PeaceHealth United General Medical CenterSedro Woolley—$53.30$82.00
Seattle Children's HospitalSeattle$34.18 – $60.7798 plans$63.30$63.30
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2.642 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2.641 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.29 – $58.582 plans$1.06 – $32.10$1.77 – $80.25
Virginia Mason Medical CenterSeattle$3.07 – $4.109 plans$2.61$5.12
WhidbeyHealth Medical CenterCoupeville—$210$210
Yakima Valley MemorialYakimaFile dated 2026-08-27$2.03 – $25.906 plans$1.66 – $12.09$4.15 – $30.22

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.