HCPCS J1110
Injection, dihydroergotamine mesylate, per 1 mg
Current code38 hospitals with prices
What Washington hospitals publish for this code
Unknown: The source file doesn't say which population this rate applies to.
| Hospital | Unknown rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| EvergreenHealth Medical Center | $437 | $389 | $486 |
| EvergreenHealth Monroe | $451 – $531 | $521 | $651 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $77.03 – $154 | $252 – $504 |
| Island Hospital | — | $104 – $184 | $104 – $184 |
| Kadlec Regional Medical Center | — | $41.04 – $393 | $58.63 – $561 |
| Legacy Salmon Creek Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | $49.28 – $141 | $123 – $354 |
| Overlake Hospital Medical Center & Clinics | — | $41.26 – $139 | $82.53 – $278 |
| PeaceHealth Peace Island Medical Center | — | $106 – $218 | $164 – $336 |
| PeaceHealth Southwest Medical Cente | $83.91 | $106 – $218 | $164 – $336 |
| PeaceHealth St John Medical Center | — | $106 – $218 | $164 – $336 |
| PeaceHealth St Joseph Medical Center | — | $106 – $218 | $164 – $336 |
| PeaceHealth United General Medical Center | — | $106 – $218 | $164 – $336 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,035 – $1,090 | $1,479 – $1,557 |
| Providence Centralia Hospital | — | $193 – $330 | $371 – $634 |
| Providence Holy Family Hospital | — | $1,035 – $1,090 | $1,479 – $1,557 |
| Providence Mount Carmel Hospital | — | $111 – $1,090 | $159 – $1,557 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $112 – $1,090 | $160 – $1,557 |
| Providence St Mary Medical Center | — | $277 – $736 | $395 – $1,051 |
| Providence St Peter Hospital | — | $84.41 – $563 | $162 – $1,083 |
| Seattle Children's Hospital | $88.62 – $90.63 | $101 | $101 |
| St Anthony Hospital | — | $76.73 – $153 | $252 – $504 |
| St Clare Hospital | — | $72.71 – $145 | $252 – $504 |
| St Elizabeth Hospital | — | $89.14 – $178 | $252 – $504 |
| St Francis Community Hospital | — | $79.17 – $158 | $252 – $504 |
| St Joseph Medical Center | — | $83.55 – $167 | $252 – $504 |
| St Michael Medical Center | — | $111 – $223 | $252 – $504 |
| Swedish Edmonds Hospital | — | $183 – $335 | $381 – $697 |
| Swedish Issaquah | — | $103 – $335 | $215 – $697 |
| Swedish Medical Center | — | $103 – $335 | $215 – $697 |
| Swedish Medical Center / Cherry Hill | — | $103 – $335 | $215 – $697 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $208 | $408 |
| WhidbeyHealth Medical Center | — | $110 | $110 |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.