HCPCS J1240
Injection, dimenhydrinate, up to 50 mg
Current code18 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) |
|---|---|---|---|
| EvergreenHealth Medical Center | $8.18 – $82.77 | $71.20 | $89.00 |
| Harborview Medical Center | $9.75 | — | — |
| Kadlec Regional Medical Center | $10.77 – $32.95 | — | — |
| Legacy Salmon Creek Medical Center | $9.67 – $18.79 | — | — |
| Overlake Hospital Medical Center & Clinics | $16.13 – $17.17 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $9.88 – $19.08 | — | — |
| Providence Centralia Hospital | $24.04 – $53.51 | — | — |
| Providence Holy Family Hospital | $9.88 – $19.08 | — | — |
| Providence Regional Medical Center Everett | $9.88 – $19.08 | — | — |
| Providence St Mary Medical Center | $19.08 – $52.24 | — | — |
| Providence St Peter Hospital | $15.43 – $19.84 | — | — |
| Swedish Edmonds Hospital | $9.88 – $15.48 | — | — |
| Swedish Issaquah | $9.88 – $15.48 | — | — |
| Swedish Medical Center | $9.88 – $15.43 | — | — |
| Swedish Medical Center / Cherry Hill | $9.88 – $15.43 | — | — |
| University of Washington Medical Ctr | $9.75 | — | — |
| Virginia Mason Medical Center | $13.40 | — | — |
| Yakima Valley Memorial | $19.94 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.