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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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$1931 plan$289$361
EvergreenHealth Medical CenterKirkland—$389$486
EvergreenHealth MonroeMonroe—$521$651
Highline Medical CenterBurienFile dated 2026-02-28—$77.03 – $154$252 – $504
Island HospitalAnacortes—$104 – $184$104 – $184
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$41.04 – $393$58.63 – $561
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$49.28 – $141$123 – $354
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$41.26 – $139$82.53 – $278
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,035 – $1,090$1,479 – $1,557
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$193 – $330$371 – $634
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,035 – $1,090$1,479 – $1,557
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$111 – $1,090$159 – $1,557
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$112 – $1,090$160 – $1,557
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$277 – $736$395 – $1,051
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$84.41 – $563$162 – $1,083
Seattle Children's HospitalSeattle—$101$101
St Anthony HospitalGig HarborFile dated 2026-02-28—$76.73 – $153$252 – $504
St Clare HospitalLakewoodFile dated 2026-02-28—$72.71 – $145$252 – $504
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$89.14 – $178$252 – $504
St Francis Community HospitalFederal WayFile dated 2026-02-28—$79.17 – $158$252 – $504
St Joseph Medical CenterTacomaFile dated 2026-02-28—$83.55 – $167$252 – $504
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$111 – $223$252 – $504
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$183 – $335$381 – $697
Swedish IssaquahIssaquahFile dated 2026-04-01—$103 – $335$215 – $697
Swedish Medical CenterSeattleFile dated 2026-04-01—$103 – $335$215 – $697
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$103 – $335$215 – $697
Virginia Mason Medical CenterSeattle—$208$408

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.