HCPCS J0895
Injection, deferoxamine mesylate, 500 mg
Current code36 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) |
|---|---|---|---|
| Capital Medical Center | $30.28 – $35.26 | $16.60 | $41.48 |
| EvergreenHealth Monroe | $71.82 – $240 | $91.20 – $206 | $114 – $258 |
| Harborview Medical Center | $9.32 | — | — |
| Highline Medical Center | $71.43 – $598 | $50.72 – $203 | $166 – $664 |
| Island Hospital | $8.47 | — | — |
| Kadlec Regional Medical Center | $11.10 – $33.97 | $34.61 – $131 | $49.44 – $187 |
| Legacy Salmon Creek Medical Center | $14.19 – $21.62 | — | — |
| Mary Bridge Children's Hospital | $22.71 – $90.35 | $14.07 – $44.40 | $35.16 – $111 |
| Overlake Hospital Medical Center & Clinics | $16.63 – $17.70 | — | — |
| PeaceHealth Peace Island Medical Center | — | $57.89 – $95.32 | $89.06 – $147 |
| PeaceHealth Southwest Medical Cente | $13.13 | $57.89 – $95.32 | $89.06 – $147 |
| PeaceHealth St John Medical Center | $14.73 | $57.89 – $95.32 | $89.06 – $147 |
| PeaceHealth St Joseph Medical Center | $14.66 | $57.89 – $95.32 | $89.06 – $147 |
| PeaceHealth United General Medical Center | — | $57.89 – $95.32 | $89.06 – $147 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $9.45 – $19.66 | $90.87 – $105 | $130 – $150 |
| Providence Centralia Hospital | $24.77 – $52.63 | $94.69 | $182 |
| Providence Holy Family Hospital | $9.45 – $19.66 | $90.87 – $105 | $130 – $150 |
| Providence Mount Carmel Hospital | — | $90.87 – $351 | $130 – $502 |
| Providence Regional Medical Center Everett | $9.45 – $19.66 | $49.44 – $99.76 | $95.07 – $192 |
| Providence St Mary Medical Center | $19.66 – $42.67 | $58.09 – $83.00 | $82.99 – $119 |
| Providence St Peter Hospital | $15.17 – $20.45 | $73.66 – $94.69 | $142 – $182 |
| Seattle Children's Hospital | $72.47 – $140 | $134 – $146 | $134 – $146 |
| St Anthony Hospital | $83.05 – $498 | $50.52 – $202 | $166 – $664 |
| St Clare Hospital | $83.05 – $498 | $47.88 – $192 | $166 – $664 |
| St Elizabeth Hospital | $8.64 – $598 | $58.70 – $235 | $166 – $664 |
| St Francis Community Hospital | $83.05 – $498 | $52.13 – $209 | $166 – $664 |
| St Joseph Medical Center | $83.05 – $498 | $55.02 – $220 | $166 – $664 |
| St Michael Medical Center | $13.80 – $598 | $73.31 – $293 | $166 – $664 |
| Swedish Edmonds Hospital | $9.45 – $18.03 | $87.69 | $183 |
| Swedish Issaquah | $9.45 – $18.03 | $37.57 | $78.28 |
| Swedish Medical Center | $9.45 – $15.17 | $37.57 | $78.28 |
| Swedish Medical Center / Cherry Hill | $9.45 – $15.17 | $37.57 | $78.28 |
| Tacoma General Allenmore Hospital | $71.31 – $94.37 | $39.08 – $51.71 | $97.69 – $129 |
| University of Washington Medical Ctr | $9.32 | — | — |
| Virginia Mason Medical Center | $13.48 – $32.86 | $11.45 – $20.95 | $22.46 – $41.08 |
| Yakima Valley Memorial | $20.56 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.