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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J0169 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$5.09 – $30.42$12.72 – $76.05
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$1.28 – $49.54$1.90 – $124
EvergreenHealth Medical CenterKirkland—$27.20$34.00
EvergreenHealth MonroeMonroe—$80.80$101
Island HospitalAnacortes———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1.03 – $36.44$2.56 – $91.10
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$1.18 – $2.39$2.95 – $5.97
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$5.09 – $31.06$12.72 – $77.65
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1.17 – $32.10$1.98 – $80.25
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$4.30 – $7.50$10.73 – $18.74
PeaceHealth Peace Island Medical CenterFriday Harbor—$53.30$82.00
PeaceHealth Southwest Medical CenteVancouver—$53.30$82.00
PeaceHealth St John Medical CenterLongview—$53.30$82.00
PeaceHealth St Joseph Medical CenterBellingham—$53.30$82.00
PeaceHealth United General Medical CenterSedro Woolley—$53.30$82.00
Seattle Children's HospitalSeattle$16.27 – $20.5812 plans$63.30$63.30
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1.06 – $32.10$1.77 – $80.25
Virginia Mason Medical CenterSeattle—$2.61$5.12
WhidbeyHealth Medical CenterCoupeville—$210$210
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.