HCPCS J1265
Injection, dopamine hcl, 40 mg
Current code40 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $4.71 | $11.77 |
| Cascade Valley Hospital | — | $97.96 – $102 | $122 – $127 |
| Deaconess Medical Center | — | $7.17 – $48.46 | $17.92 – $121 |
| EvergreenHealth Medical Center | — | $67.20 – $96.80 | $84.00 – $121 |
| EvergreenHealth Monroe | — | $67.20 – $88.00 | $84.00 – $110 |
| Highline Medical Center | — | $38.72 – $165 | $127 – $541 |
| Kadlec Regional Medical Center | — | $34.61 – $52.67 | $49.44 – $75.24 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $19.87 – $35.91 | $49.67 – $89.76 |
| MultiCare Auburn Medical Center | — | $4.72 | $11.78 |
| MultiCare Covington Medical Center | — | $4.82 | $12.05 |
| MultiCare Good Samaritan Hospital | — | $2.60 – $4.85 | $6.50 – $12.10 |
| Olympic Medical Center | — | $53.03 – $154 | $66.29 – $193 |
| Overlake Hospital Medical Center & Clinics | — | $9.75 – $38.32 | $19.50 – $76.63 |
| PeaceHealth St John Medical Center | — | $125 – $131 | $193 – $202 |
| PeaceHealth United General Medical Center | — | $131 | $202 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $154 | $101 – $220 |
| Providence Centralia Hospital | — | $77.41 | $149 |
| Providence Holy Family Hospital | — | $70.66 – $154 | $101 – $220 |
| Providence Mount Carmel Hospital | — | $70.66 – $154 | $101 – $220 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $70.66 – $154 | $101 – $220 |
| Providence St Mary Medical Center | — | $30.00 – $84.88 | $42.86 – $121 |
| Providence St Peter Hospital | — | $60.08 – $77.41 | $116 – $149 |
| Seattle Children's Hospital | — | $198 – $224 | $198 – $224 |
| Skagit Valley Hospital | — | $97.96 – $102 | $122 – $127 |
| St Anthony Hospital | — | $38.57 – $164 | $127 – $541 |
| St Clare Hospital | — | $36.55 – $156 | $127 – $541 |
| St Elizabeth Hospital | — | $44.81 – $191 | $127 – $541 |
| St Francis Community Hospital | — | $39.80 – $170 | $127 – $541 |
| St Joseph Medical Center | — | $42.00 – $179 | $127 – $541 |
| St Michael Medical Center | — | $55.97 – $239 | $127 – $541 |
| Swedish Edmonds Hospital | — | $36.04 – $55.69 | $75.08 – $116 |
| Swedish Issaquah | — | $36.04 – $55.69 | $75.08 – $116 |
| Swedish Medical Center | — | $36.04 – $55.69 | $75.08 – $116 |
| Swedish Medical Center / Cherry Hill | — | $36.04 – $55.69 | $75.08 – $116 |
| Tacoma General Allenmore Hospital | — | $2.60 – $4.68 | $6.50 – $11.69 |
| Three Rivers Hospital | $64.54 | $92.19 | $92.19 |
| Virginia Mason Medical Center | — | $1.07 – $1.08 | $2.10 – $2.12 |
| Yakima Valley Memorial | — | $3.77 – $10.16 | $9.42 – $25.40 |
Medicare (traditional) reference
CMS publishes no national amount for this code.