HCPCS J1097
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
Current code34 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 | $97.54 – $217 | — | — |
| Deaconess Medical Center | $97.54 – $501 | — | — |
| Harborview Medical Center | $155 – $210 | — | — |
| Island Hospital | $181 – $204 | — | — |
| Kadlec Regional Medical Center | $149 – $368 | — | — |
| Legacy Salmon Creek Medical Center | $133 – $221 | — | — |
| Mary Bridge Children's Hospital | $186 – $884 | — | — |
| MultiCare Auburn Medical Center | $97.54 – $520 | — | — |
| MultiCare Covington Medical Center | $97.54 – $520 | — | — |
| MultiCare Good Samaritan Hospital | $97.54 – $520 | — | — |
| MultiCare Valley Hospital | $97.54 – $500 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $87.16 – $254 | — | — |
| PeaceHealth Peace Island Medical Center | — | $1,050 | $1,616 |
| PeaceHealth Southwest Medical Cente | $42.56 – $345 | $1,050 | $1,616 |
| PeaceHealth St John Medical Center | $42.60 – $107 | $1,040 – $1,050 | $1,600 – $1,616 |
| PeaceHealth St Joseph Medical Center | $106 | $1,050 | $1,616 |
| PeaceHealth United General Medical Center | — | $1,050 | $1,616 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $130 – $321 | — | — |
| Providence Centralia Hospital | $163 – $368 | — | — |
| Providence Holy Family Hospital | $116 – $354 | — | — |
| Providence Regional Medical Center Everett | $116 – $300 | — | — |
| Providence St Joseph Hospital | — | $622 | $888 |
| Providence St Mary Medical Center | $155 – $284 | $1,032 | $1,475 |
| Providence St Peter Hospital | $82.12 – $377 | — | — |
| Swedish Edmonds Hospital | $130 – $348 | — | — |
| Swedish Issaquah | $130 – $410 | — | — |
| Swedish Medical Center | $130 – $410 | — | — |
| Swedish Medical Center / Cherry Hill | $130 – $410 | — | — |
| Tacoma General Allenmore Hospital | $97.54 – $520 | — | — |
| University of Washington Medical Ctr | $124 – $304 | — | — |
| Virginia Mason Medical Center | $96.84 – $96.91 | — | — |
| Wellfound Behavioral Health Hospital | $244 | — | — |
| Yakima Valley Memorial | $151 – $312 | — | — |
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)
- $96.06 (APC 9324)
- Surgery center payment (national)
- $96.06