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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $20.00 – $27.00 | $20.00 – $27.00 |
| Cascade Valley Hospital | $22.35 – $45.00 | $17.88 – $36.00 | $22.35 – $45.00 |
| Deaconess Medical Center | — | $24.00 – $72.00 | $60.00 – $180 |
| MultiCare Auburn Medical Center | — | $50.00 | $125 |
| MultiCare Covington Medical Center | — | $50.00 | $125 |
| MultiCare Good Samaritan Hospital | — | $50.00 | $125 |
| MultiCare Valley Hospital | — | $72.00 | $180 |
| Overlake Hospital Medical Center & Clinics | — | $5.50 – $84.54 | $11.01 – $169 |
| Skagit Valley Hospital | — | $17.88 – $36.00 | $22.35 – $45.00 |
| Tacoma General Allenmore Hospital | — | $50.00 | $125 |
| Yakima Valley Memorial | — | $11.46 – $50.00 | $28.65 – $125 |
Medicare (traditional) reference
CMS publishes no national amount for this code.