HCPCS J1200
Injection, diphenhydramine hcl, up to 50 mg
Current code50 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $16.00 | $16.00 |
| Capital Medical Center | — | $30.74 – $30.88 | $2.00 – $77.20 |
| Cascade Valley Hospital | — | $2.66 – $15.61 | $3.33 – $19.51 |
| Deaconess Medical Center | — | $7.46 – $53.50 | $2.00 – $134 |
| EvergreenHealth Medical Center | — | $16.00 | $20.00 |
| EvergreenHealth Monroe | — | $16.00 | $20.00 |
| Highline Medical Center | — | $42.17 | $138 |
| Island Hospital | $1.80 – $3.96 | $4.00 | $4.00 |
| Kadlec Regional Medical Center | — | $34.61 | $49.44 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $36.32 – $36.46 | $2.00 – $91.15 |
| MultiCare Auburn Medical Center | — | $15.88 – $34.44 | $2.00 – $86.08 |
| MultiCare Covington Medical Center | — | $15.88 – $30.88 | $2.00 – $77.19 |
| MultiCare Good Samaritan Hospital | — | $30.74 – $37.46 | $2.00 – $93.65 |
| MultiCare Valley Hospital | — | $48.36 – $57.70 | $2.00 – $144 |
| Olympic Medical Center | — | $48.93 | $61.16 |
| Overlake Hospital Medical Center & Clinics | — | $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 | — | $38.83 – $83.20 | $59.74 – $128 |
| PeaceHealth St John Medical Center | — | $38.83 – $60.40 | $59.74 – $92.92 |
| PeaceHealth St Joseph Medical Center | — | $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. | — | $70.66 | $101 |
| Providence Centralia Hospital | — | $40.53 – $41.27 | $77.94 – $79.37 |
| Providence Holy Family Hospital | — | $70.66 | $101 |
| Providence Mount Carmel Hospital | — | $70.66 | $101 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $70.66 | $101 |
| Providence St Mary Medical Center | — | $30.00 | $42.86 |
| Providence St Peter Hospital | — | $40.53 – $48.06 | $77.94 – $92.43 |
| Seattle Children's Hospital | $8.20 | $20.00 | $20.00 |
| Skagit Valley Hospital | — | $2.66 – $15.61 | $3.33 – $19.51 |
| St Anthony Hospital | — | $42.01 | $138 |
| St Clare Hospital | — | $39.81 | $138 |
| St Elizabeth Hospital | — | $48.80 | $138 |
| St Francis Community Hospital | — | $43.34 | $138 |
| St Joseph Medical Center | — | $45.74 | $138 |
| St Michael Medical Center | — | $60.96 | $138 |
| Swedish Edmonds Hospital | — | $36.04 | $75.08 |
| Swedish Issaquah | — | $36.04 | $75.08 |
| Swedish Medical Center | — | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | — | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | — | $15.88 – $37.46 | $2.00 – $93.65 |
| Three Rivers Hospital | — | $27.83 | $27.83 |
| Virginia Mason Medical Center | — | $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 | — | $15.88 – $34.06 | $39.68 – $85.15 |
Medicare (traditional) reference
CMS publishes no national amount for this code.