HCPCS J1190
Injection, dexrazoxane hydrochloride, per 250 mg
Current code44 hospitals with prices
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) |
|---|---|---|---|
| Capital Medical Center | $82.18 – $1,000 | — | — |
| Cascade Valley Hospital | $49.61 – $3,424 | $467 – $3,043 | $584 – $3,804 |
| Deaconess Medical Center | $82.18 – $744 | — | — |
| EvergreenHealth Medical Center | $91.09 – $1,358 | $965 – $1,168 | $1,206 – $1,460 |
| Harborview Medical Center | $66.84 – $137 | — | — |
| Highline Medical Center | $67.85 – $4,106 | $317 – $1,393 | $1,037 – $4,562 |
| Island Hospital | $58.01 – $133 | — | — |
| Kadlec Regional Medical Center | $84.06 – $452 | — | — |
| Legacy Salmon Creek Medical Center | $99.32 – $317 | — | — |
| Mary Bridge Children's Hospital | $48.73 – $2,024 | $30.18 – $309 | $75.44 – $774 |
| MultiCare Auburn Medical Center | $82.18 – $984 | — | — |
| MultiCare Covington Medical Center | $82.18 – $984 | — | — |
| MultiCare Good Samaritan Hospital | $82.18 – $984 | — | — |
| MultiCare Valley Hospital | $82.18 – $743 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $54.71 – $1,475 | — | — |
| PeaceHealth Peace Island Medical Center | — | $398 – $412 | $612 – $635 |
| PeaceHealth Southwest Medical Cente | $23.20 – $188 | $398 – $412 | $612 – $635 |
| PeaceHealth St John Medical Center | $23.20 – $101 | $398 – $412 | $612 – $635 |
| PeaceHealth St Joseph Medical Center | $58.01 – $100 | $398 – $688 | $612 – $1,058 |
| PeaceHealth United General Medical Center | — | $398 – $412 | $612 – $635 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $84.06 – $460 | $622 – $968 | $889 – $1,384 |
| Providence Centralia Hospital | $84.06 – $593 | — | — |
| Providence Holy Family Hospital | $59.69 – $196 | $622 – $968 | $889 – $1,384 |
| Providence Regional Medical Center Everett | $59.69 – $470 | $368 | $708 |
| Providence St Mary Medical Center | $79.58 – $711 | $787 – $1,826 | $1,124 – $2,608 |
| Providence St Peter Hospital | $42.28 – $620 | $234 | $450 |
| Seattle Children's Hospital | $990 – $3,471 | $1,833 – $3,615 | $1,833 – $3,615 |
| Skagit Valley Hospital | $108 – $3,614 | $467 – $3,043 | $584 – $3,804 |
| St Anthony Hospital | $69.10 – $3,421 | $315 – $1,387 | $1,037 – $4,562 |
| St Clare Hospital | $80.88 – $3,421 | $299 – $1,315 | $1,037 – $4,562 |
| St Elizabeth Hospital | $101 – $4,106 | $366 – $1,612 | $1,037 – $4,562 |
| St Francis Community Hospital | $67.85 – $3,421 | $325 – $1,432 | $1,037 – $4,562 |
| St Joseph Medical Center | $72.01 – $3,421 | $343 – $1,511 | $1,037 – $4,562 |
| St Michael Medical Center | $74.78 – $4,106 | $458 – $2,013 | $1,037 – $4,562 |
| Swedish Edmonds Hospital | $64.17 – $458 | $411 | $857 |
| Swedish Issaquah | $64.17 – $580 | $327 – $411 | $681 – $857 |
| Swedish Medical Center | $74.61 – $580 | $411 – $696 | $857 – $1,450 |
| Swedish Medical Center / Cherry Hill | $74.61 – $430 | $411 – $851 | $857 – $1,772 |
| Tacoma General Allenmore Hospital | $49.74 – $773 | $102 | $256 |
| University of Washington Medical Ctr | $66.84 – $326 | — | — |
| Virginia Mason Medical Center | $63.06 – $624 | $141 – $398 | $277 – $780 |
| Wellfound Behavioral Health Hospital | $126 | — | — |
| Yakima Valley Memorial | $77.99 – $740 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $30.83 (APC 0726)
- Surgery center payment (national)
- $30.83