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Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Current code38 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland$57.31 – $4527 plans$389$486
EvergreenHealth MonroeMonroe$410 – $60512 plans$521$651
Harborview Medical CenterSeattleFile dated 2026-04-01$50.461 plan——
Highline Medical CenterBurienFile dated 2026-02-28$108 – $4545 plans$77.03 – $154$252 – $504
Island HospitalAnacortes$57.08 – $17513 plans$104 – $184$104 – $184
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$50.96 – $1594 plans$41.04 – $393$58.63 – $561
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$94.51 – $1934 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$89.94 – $2582 plans$49.28 – $141$123 – $354
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$76.33 – $81.263 plans$41.26 – $139$82.53 – $278
PeaceHealth Peace Island Medical CenterFriday Harbor—$106 – $218$164 – $336
PeaceHealth Southwest Medical CenteVancouver$88.481 plan$106 – $218$164 – $336
PeaceHealth St John Medical CenterLongview$99.321 plan$106 – $218$164 – $336
PeaceHealth St Joseph Medical CenterBellingham$98.831 plan$106 – $218$164 – $336
PeaceHealth United General Medical CenterSedro Woolley—$106 – $218$164 – $336
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$55.65 – $1593 plans$1,035 – $1,090$1,479 – $1,557
Providence Centralia HospitalCentraliaFile dated 2026-04-01$114 – $5504 plans$193 – $330$371 – $634
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$55.65 – $1593 plans$1,035 – $1,090$1,479 – $1,557
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$111 – $1,090$159 – $1,557
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$55.65 – $1594 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$112 – $1,090$160 – $1,557
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$90.28 – $2912 plans$277 – $736$395 – $1,051
Providence St Peter HospitalOlympiaFile dated 2026-04-01$93.89 – $1592 plans$84.41 – $563$162 – $1,083
Seattle Children's HospitalSeattle$54.38 – $96.6798 plans$101$101
St Anthony HospitalGig HarborFile dated 2026-02-28$126 – $3783 plans$76.73 – $153$252 – $504
St Clare HospitalLakewoodFile dated 2026-02-28$126 – $3783 plans$72.71 – $145$252 – $504
St Elizabeth HospitalEnumclawFile dated 2026-02-28$61.30 – $4548 plans$89.14 – $178$252 – $504
St Francis Community HospitalFederal WayFile dated 2026-02-28$126 – $3783 plans$79.17 – $158$252 – $504
St Joseph Medical CenterTacomaFile dated 2026-02-28$126 – $3783 plans$83.55 – $167$252 – $504
St Michael Medical CenterSilverdaleFile dated 2026-02-28$93.03 – $45410 plans$111 – $223$252 – $504
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$55.65 – $1944 plans$183 – $335$381 – $697
Swedish IssaquahIssaquahFile dated 2026-04-01$55.65 – $1943 plans$103 – $335$215 – $697
Swedish Medical CenterSeattleFile dated 2026-04-01$55.65 – $1592 plans$103 – $335$215 – $697
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$55.65 – $1592 plans$103 – $335$215 – $697
University of Washington Medical CtrSeattleFile dated 2026-04-01$50.461 plan——
Virginia Mason Medical CenterSeattle$114 – $3269 plans$208$408
WhidbeyHealth Medical CenterCoupeville—$110$110
Yakima Valley MemorialYakimaFile dated 2026-08-27$94.391 plan——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.