HCPCS J1200
Injection, diphenhydramine hcl, up to 50 mg
Current code50 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) |
|---|---|---|---|
| BHC Fairfax Hospital | $6.08 – $11.20 | $16.00 | $16.00 |
| Capital Medical Center | $1.46 – $65.62 | $30.74 – $30.88 | $2.00 – $77.20 |
| Cascade Valley Hospital | $1.04 – $358 | $2.66 – $15.61 | $3.33 – $19.51 |
| Deaconess Medical Center | $1.40 – $97.63 | $7.46 – $53.50 | $2.00 – $134 |
| EvergreenHealth Medical Center | $1.17 – $18.60 | $16.00 | $20.00 |
| EvergreenHealth Monroe | $12.60 – $18.60 | $16.00 | $20.00 |
| Highline Medical Center | $59.39 – $124 | $42.17 | $138 |
| Island Hospital | $2.64 – $3.80 | $4.00 | $4.00 |
| Kadlec Regional Medical Center | $1.22 – $2.77 | $34.61 | $49.44 |
| Legacy Salmon Creek Medical Center | $1.19 – $1.82 | — | — |
| Mary Bridge Children's Hospital | $1.29 – $74.20 | $36.32 – $36.46 | $2.00 – $91.15 |
| MultiCare Auburn Medical Center | $1.46 – $62.84 | $15.88 – $34.44 | $2.00 – $86.08 |
| MultiCare Covington Medical Center | $1.46 – $56.35 | $15.88 – $30.88 | $2.00 – $77.19 |
| MultiCare Good Samaritan Hospital | $1.46 – $68.36 | $30.74 – $37.46 | $2.00 – $93.65 |
| MultiCare Valley Hospital | $1.40 – $104 | $48.36 – $57.70 | $2.00 – $144 |
| Olympic Medical Center | $34.18 – $61.16 | $48.93 | $61.16 |
| Overlake Hospital Medical Center & Clinics | $1.36 – $1.45 | $5.56 – $9.75 | $11.11 – $19.50 |
| PeaceHealth Peace Island Medical Center | — | $38.83 – $60.40 | $59.74 – $92.92 |
| PeaceHealth Southwest Medical Cente | $1.11 | $38.83 – $83.20 | $59.74 – $128 |
| PeaceHealth St John Medical Center | $1.24 | $38.83 – $60.40 | $59.74 – $92.92 |
| PeaceHealth St Joseph Medical Center | $1.23 | $38.83 – $60.40 | $59.74 – $92.92 |
| PeaceHealth United General Medical Center | — | $38.83 – $60.40 | $59.74 – $92.92 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.17 – $1.62 | $70.66 | $101 |
| Providence Centralia Hospital | $2.04 – $4.22 | $40.53 – $41.27 | $77.94 – $79.37 |
| Providence Holy Family Hospital | $1.17 – $1.62 | $70.66 | $101 |
| Providence Mount Carmel Hospital | — | $70.66 | $101 |
| Providence Regional Medical Center Everett | $1.17 – $1.62 | — | — |
| Providence St Joseph Hospital | — | $70.66 | $101 |
| Providence St Mary Medical Center | $1.62 – $5.64 | $30.00 | $42.86 |
| Providence St Peter Hospital | $1.22 – $1.68 | $40.53 – $48.06 | $77.94 – $92.43 |
| Seattle Children's Hospital | $10.80 – $19.20 | $20.00 | $20.00 |
| Skagit Valley Hospital | $1.76 – $18.53 | $2.66 – $15.61 | $3.33 – $19.51 |
| St Anthony Hospital | $69.05 – $104 | $42.01 | $138 |
| St Clare Hospital | $69.05 – $104 | $39.81 | $138 |
| St Elizabeth Hospital | $1.12 – $124 | $48.80 | $138 |
| St Francis Community Hospital | $69.05 – $104 | $43.34 | $138 |
| St Joseph Medical Center | $69.05 – $104 | $45.74 | $138 |
| St Michael Medical Center | $1.20 – $124 | $60.96 | $138 |
| Swedish Edmonds Hospital | $1.17 – $1.81 | $36.04 | $75.08 |
| Swedish Issaquah | $1.17 – $1.81 | $36.04 | $75.08 |
| Swedish Medical Center | $1.17 – $1.22 | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | $1.17 – $1.22 | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | $1.46 – $68.36 | $15.88 – $37.46 | $2.00 – $93.65 |
| Three Rivers Hospital | — | $27.83 | $27.83 |
| Virginia Mason Medical Center | $1.24 – $4.87 | $3.02 – $3.11 | $5.93 – $6.09 |
| Wellfound Behavioral Health Hospital | — | — | $1.65 – $1.90 |
| WhidbeyHealth Medical Center | — | $3.00 | $3.00 |
| Yakima Valley Memorial | $1.68 – $72.97 | $15.88 – $34.06 | $39.68 – $85.15 |
Medicare (traditional) reference
CMS publishes no national amount for this code.