HCPCS J1190
Injection, dexrazoxane hydrochloride, per 250 mg
Current code44 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Cascade Valley Hospital | — | $467 – $3,043 | $584 – $3,804 |
| Deaconess Medical Center | — | — | — |
| EvergreenHealth Medical Center | — | $965 – $1,168 | $1,206 – $1,460 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $317 – $1,393 | $1,037 – $4,562 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $30.18 – $309 | $75.44 – $774 |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $398 – $412 | $612 – $635 |
| PeaceHealth Southwest Medical Cente | — | $398 – $412 | $612 – $635 |
| PeaceHealth St John Medical Center | — | $398 – $412 | $612 – $635 |
| PeaceHealth St Joseph Medical Center | — | $398 – $688 | $612 – $1,058 |
| PeaceHealth United General Medical Center | — | $398 – $412 | $612 – $635 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $622 – $968 | $889 – $1,384 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $622 – $968 | $889 – $1,384 |
| Providence Regional Medical Center Everett | — | $368 | $708 |
| Providence St Mary Medical Center | — | $787 – $1,826 | $1,124 – $2,608 |
| Providence St Peter Hospital | — | $234 | $450 |
| Seattle Children's Hospital | $462 – $911 | $1,833 – $3,615 | $1,833 – $3,615 |
| Skagit Valley Hospital | — | $467 – $3,043 | $584 – $3,804 |
| St Anthony Hospital | — | $315 – $1,387 | $1,037 – $4,562 |
| St Clare Hospital | — | $299 – $1,315 | $1,037 – $4,562 |
| St Elizabeth Hospital | — | $366 – $1,612 | $1,037 – $4,562 |
| St Francis Community Hospital | — | $325 – $1,432 | $1,037 – $4,562 |
| St Joseph Medical Center | — | $343 – $1,511 | $1,037 – $4,562 |
| St Michael Medical Center | — | $458 – $2,013 | $1,037 – $4,562 |
| Swedish Edmonds Hospital | — | $411 | $857 |
| Swedish Issaquah | — | $327 – $411 | $681 – $857 |
| Swedish Medical Center | — | $411 – $696 | $857 – $1,450 |
| Swedish Medical Center / Cherry Hill | — | $411 – $851 | $857 – $1,772 |
| Tacoma General Allenmore Hospital | — | $102 | $256 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $141 – $398 | $277 – $780 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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