HCPCS J0390
Injection, chloroquine hydrochloride, up to 250 mg
Current code15 hospitals with prices
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 | $3.17 | — | — |
| Mary Bridge Children's Hospital | $5.58 | — | — |
| MultiCare Auburn Medical Center | $3.29 | — | — |
| MultiCare Covington Medical Center | $3.29 | — | — |
| MultiCare Good Samaritan Hospital | $3.29 | — | — |
| MultiCare Valley Hospital | $3.16 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $35.22 | — | — |
| Providence Centralia Hospital | $44.38 | — | — |
| Providence Holy Family Hospital | $35.22 | — | — |
| Providence Regional Medical Center Everett | $35.22 | — | — |
| Providence St Mary Medical Center | $35.22 | — | — |
| Providence St Peter Hospital | $36.63 | — | — |
| Tacoma General Allenmore Hospital | $3.29 | — | — |
| Virginia Mason Medical Center | $2.10 | — | — |
| Yakima Valley Memorial | $1.97 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.