HCPCS J0795
Injection, corticorelin ovine triflutate, 1 microgram
Retired code25 hospitals with prices
This code is retired. Some hospitals still list it.
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $661 – $979 | — | — |
| Deaconess Medical Center | $604 – $640 | — | — |
| Harborview Medical Center | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $625 – $675 | — | — |
| MultiCare Auburn Medical Center | $614 – $663 | — | — |
| MultiCare Covington Medical Center | $614 – $663 | — | — |
| MultiCare Good Samaritan Hospital | $628 – $678 | — | — |
| MultiCare Valley Hospital | $600 – $635 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $628 – $679 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $17.34 | $34.00 |
| Yakima Valley Memorial | $600 – $698 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.