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HCPCS J1190

Injection, dexrazoxane hydrochloride, per 250 mg

Current code44 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$49.61 – $3,42411 plans$467 – $3,043$584 – $3,804
EvergreenHealth Medical CenterKirkland$91.09 – $1,35825 plans$965 – $1,168$1,206 – $1,460
Highline Medical CenterBurienFile dated 2026-02-28$446 – $4,1066 plans$317 – $1,393$1,037 – $4,562
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$49.34 – $6196 plans$30.18 – $309$75.44 – $774
PeaceHealth Peace Island Medical CenterFriday Harbor—$145$223
PeaceHealth Southwest Medical CenteVancouver—$145$223
PeaceHealth St John Medical CenterLongview—$145$223
PeaceHealth St Joseph Medical CenterBellingham—$145$223
PeaceHealth United General Medical CenterSedro Woolley$5,2991 plan$145$223
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$622 – $968$889 – $1,384
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$622 – $968$889 – $1,384
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$368$708
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$787 – $1,826$1,124 – $2,608
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$234$450
Seattle Children's HospitalSeattle$990 – $3,47198 plans$1,833 – $3,615$1,833 – $3,615
Skagit Valley HospitalMount Vernon$108 – $3,61410 plans$467 – $3,043$584 – $3,804
St Anthony HospitalGig HarborFile dated 2026-02-28$570 – $3,4214 plans$315 – $1,387$1,037 – $4,562
St Clare HospitalLakewoodFile dated 2026-02-28$570 – $3,4214 plans$299 – $1,315$1,037 – $4,562
St Elizabeth HospitalEnumclawFile dated 2026-02-28$373 – $4,1069 plans$366 – $1,612$1,037 – $4,562
St Francis Community HospitalFederal WayFile dated 2026-02-28$570 – $3,4214 plans$325 – $1,432$1,037 – $4,562
St Joseph Medical CenterTacomaFile dated 2026-02-28$570 – $3,4214 plans$343 – $1,511$1,037 – $4,562
St Michael Medical CenterSilverdaleFile dated 2026-02-28$653 – $4,10610 plans$458 – $2,013$1,037 – $4,562
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$411$857
Swedish IssaquahIssaquahFile dated 2026-04-01—$327 – $411$681 – $857
Swedish Medical CenterSeattleFile dated 2026-04-01—$411 – $696$857 – $1,450
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$411 – $851$857 – $1,772
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$151 – $1873 plans$102$256
Virginia Mason Medical CenterSeattle$177 – $6244 plans$141 – $398$277 – $780

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

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