HCPCS J1170
Injection, hydromorphone, up to 4 mg
Retired code22 hospitals with prices
This code is retired. Some hospitals still list it.
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) |
|---|---|---|---|
| BHC Fairfax Hospital | $7.60 – $18.90 | $20.00 – $27.00 | $20.00 – $27.00 |
| Cascade Valley Hospital | $1.90 – $508 | $17.88 – $36.00 | $22.35 – $45.00 |
| Deaconess Medical Center | $22.29 – $131 | $24.00 – $72.00 | $60.00 – $180 |
| Harborview Medical Center | $4.37 | — | — |
| MultiCare Auburn Medical Center | $91.25 | $50.00 | $125 |
| MultiCare Covington Medical Center | $91.25 | $50.00 | $125 |
| MultiCare Good Samaritan Hospital | $91.25 | $50.00 | $125 |
| MultiCare Valley Hospital | $66.87 – $130 | $72.00 | $180 |
| Overlake Hospital Medical Center & Clinics | — | $5.50 – $84.54 | $11.01 – $169 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4.79 | — | — |
| Providence Holy Family Hospital | $4.79 | — | — |
| Providence Regional Medical Center Everett | $4.79 | — | — |
| Providence St Mary Medical Center | $16.71 | — | — |
| Skagit Valley Hospital | $1.15 – $42.75 | $6.40 – $36.00 | $8.00 – $45.00 |
| Swedish Edmonds Hospital | $4.79 | — | — |
| Swedish Issaquah | $4.79 | — | — |
| Swedish Medical Center | $4.79 | — | — |
| Swedish Medical Center / Cherry Hill | $4.79 | — | — |
| Tacoma General Allenmore Hospital | $91.25 | $50.00 | $125 |
| University of Washington Medical Ctr | $4.37 | — | — |
| Virginia Mason Medical Center | $5.48 | — | — |
| Yakima Valley Memorial | $14.04 – $107 | $11.46 – $50.00 | $28.65 – $125 |
Medicare (traditional) reference
CMS publishes no national amount for this code.