HCPCS J1245
Injection, dipyridamole, per 10 mg
Current code28 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) |
|---|---|---|---|
| EvergreenHealth Medical Center | — | $104 | $130 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $226 – $246 | $742 – $805 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $188 | $101 – $269 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $70.66 – $188 | $101 – $269 |
| Providence Mount Carmel Hospital | — | $70.66 – $188 | $101 – $269 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $70.66 – $188 | $101 – $269 |
| Providence St Mary Medical Center | — | $30.00 – $104 | $42.86 – $148 |
| Providence St Peter Hospital | — | $45.58 | $87.66 |
| St Anthony Hospital | — | $226 – $245 | $742 – $805 |
| St Clare Hospital | — | $214 – $232 | $742 – $805 |
| St Elizabeth Hospital | $134 – $177 | $262 – $284 | $742 – $805 |
| St Francis Community Hospital | — | $233 – $253 | $742 – $805 |
| St Joseph Medical Center | — | $246 – $267 | $742 – $805 |
| St Michael Medical Center | — | $327 – $355 | $742 – $805 |
| Swedish Edmonds Hospital | — | $46.97 | $97.85 |
| Swedish Issaquah | — | $46.97 | $97.85 |
| Swedish Medical Center | — | $46.97 | $97.85 |
| Swedish Medical Center / Cherry Hill | — | $46.97 | $97.85 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.