HCPCS J1190
Injection, dexrazoxane hydrochloride, per 250 mg
Current code44 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $48.74 – $53.62 | — | — |
| Cascade Valley Hospital | $80.88 – $84.92 | $467 – $3,043 | $584 – $3,804 |
| Deaconess Medical Center | $48.74 – $53.62 | — | — |
| EvergreenHealth Medical Center | $93.82 – $95.64 | $965 – $1,168 | $1,206 – $1,460 |
| Harborview Medical Center | $63.06 – $69.37 | — | — |
| Highline Medical Center | $35.71 – $41.07 | $317 – $1,393 | $1,037 – $4,562 |
| Island Hospital | $73.66 – $78.08 | — | — |
| Kadlec Regional Medical Center | $49.74 – $59.69 | — | — |
| Legacy Salmon Creek Medical Center | $51.23 – $55.71 | — | — |
| Mary Bridge Children's Hospital | $48.74 – $53.62 | $30.18 – $309 | $75.44 – $774 |
| MultiCare Auburn Medical Center | $48.74 – $53.62 | — | — |
| MultiCare Covington Medical Center | $48.74 – $53.62 | — | — |
| MultiCare Good Samaritan Hospital | $48.74 – $53.62 | — | — |
| MultiCare Valley Hospital | $50.21 – $53.62 | — | — |
| Olympic Medical Center | $77.34 – $99.44 | — | — |
| Overlake Hospital Medical Center & Clinics | $49.74 – $51.73 | — | — |
| PeaceHealth Peace Island Medical Center | — | $398 – $412 | $612 – $635 |
| PeaceHealth Southwest Medical Cente | $58.01 – $66.71 | $398 – $412 | $612 – $635 |
| PeaceHealth St John Medical Center | $45.25 – $63.81 | $398 – $412 | $612 – $635 |
| PeaceHealth St Joseph Medical Center | $58.01 – $63.81 | $398 – $688 | $612 – $1,058 |
| PeaceHealth United General Medical Center | — | $398 – $412 | $612 – $635 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $49.74 – $59.69 | $622 – $968 | $889 – $1,384 |
| Providence Centralia Hospital | $49.74 – $79.58 | — | — |
| Providence Holy Family Hospital | $49.74 – $54.71 | $622 – $968 | $889 – $1,384 |
| Providence Regional Medical Center Everett | $49.74 – $54.71 | $368 | $708 |
| Providence St Mary Medical Center | $49.74 – $54.71 | $787 – $1,826 | $1,124 – $2,608 |
| Providence St Peter Hospital | $49.74 – $79.58 | $234 | $450 |
| Seattle Children's Hospital | — | $1,833 – $3,615 | $1,833 – $3,615 |
| Skagit Valley Hospital | $80.88 – $87.35 | $467 – $3,043 | $584 – $3,804 |
| St Anthony Hospital | $36.37 – $41.83 | $315 – $1,387 | $1,037 – $4,562 |
| St Clare Hospital | $91.76 – $106 | $299 – $1,315 | $1,037 – $4,562 |
| St Elizabeth Hospital | $187 – $1,004 | $366 – $1,612 | $1,037 – $4,562 |
| St Francis Community Hospital | $35.71 – $41.07 | $325 – $1,432 | $1,037 – $4,562 |
| St Joseph Medical Center | $36.37 – $157 | $343 – $1,511 | $1,037 – $4,562 |
| St Michael Medical Center | $37.39 – $109 | $458 – $2,013 | $1,037 – $4,562 |
| Swedish Edmonds Hospital | $49.74 – $59.69 | $411 | $857 |
| Swedish Issaquah | $49.74 – $59.69 | $327 – $411 | $681 – $857 |
| Swedish Medical Center | $49.74 – $59.69 | $411 – $696 | $857 – $1,450 |
| Swedish Medical Center / Cherry Hill | $49.74 – $59.69 | $411 – $851 | $857 – $1,772 |
| Tacoma General Allenmore Hospital | $48.74 – $53.62 | $102 | $256 |
| University of Washington Medical Ctr | $63.06 – $69.37 | — | — |
| Virginia Mason Medical Center | $44.14 – $66.21 | $141 – $398 | $277 – $780 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $48.74 – $54.59 | — | — |
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