HCPCS J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
Current code29 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $90.70 – $99.77 | — | — |
| Deaconess Medical Center | $90.70 – $99.77 | — | — |
| Harborview Medical Center | $103 – $113 | — | — |
| Island Hospital | $120 – $127 | — | — |
| Kadlec Regional Medical Center | $92.55 – $111 | — | — |
| Legacy Salmon Creek Medical Center | $95.32 – $104 | — | — |
| Mary Bridge Children's Hospital | $90.70 – $99.77 | — | — |
| MultiCare Auburn Medical Center | $90.70 – $99.77 | — | — |
| MultiCare Covington Medical Center | $90.70 – $99.77 | — | — |
| MultiCare Good Samaritan Hospital | $90.70 – $99.77 | — | — |
| MultiCare Valley Hospital | $93.42 – $99.77 | — | — |
| Olympic Medical Center | $126 – $162 | — | — |
| Overlake Hospital Medical Center & Clinics | $92.55 – $96.25 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $92.55 – $111 | — | — |
| Providence Centralia Hospital | $92.55 – $148 | — | — |
| Providence Holy Family Hospital | $92.55 – $102 | — | — |
| Providence Regional Medical Center Everett | $92.55 – $102 | — | — |
| Providence St Mary Medical Center | $92.55 – $102 | — | — |
| Providence St Peter Hospital | $92.55 – $148 | — | — |
| Seattle Children's Hospital | — | $1,605 | $1,605 |
| Swedish Edmonds Hospital | $92.55 – $111 | — | — |
| Swedish Issaquah | $92.55 – $111 | — | — |
| Swedish Medical Center | $92.55 – $111 | — | — |
| Swedish Medical Center / Cherry Hill | $92.55 – $111 | — | — |
| Tacoma General Allenmore Hospital | $90.70 – $99.77 | — | — |
| University of Washington Medical Ctr | $103 – $113 | — | — |
| Virginia Mason Medical Center | $72.06 – $108 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $90.70 – $102 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $87.90 (APC 9308)
- Surgery center payment (national)
- $87.90