HCPCS J1105

Dexmedetomidine, oral, 1 mcg

Current code29 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J1105 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
PeaceHealth Peace Island Medical CenterFriday Harbor	—	$73.92	$114
PeaceHealth Southwest Medical CenteVancouver	—	$73.92	$114
PeaceHealth St John Medical CenterLongview	—	$73.92	$114
PeaceHealth St Joseph Medical CenterBellingham	—	$73.92	$114
PeaceHealth United General Medical CenterSedro Woolley	$5,2991 plan	$73.92	$114
Seattle Children's HospitalSeattle	$27.89 – $49.5898 plans	$51.65	$51.65

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.