HCPCS J1265

Injection, dopamine hcl, 40 mg

Current code40 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J1265 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$4.71$11.77
Cascade Valley HospitalArlington$1,050 – $1,0861 plan$97.96 – $102$122 – $127
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$7.17 – $48.46$17.92 – $121
EvergreenHealth Medical CenterKirkland—$67.20 – $96.80$84.00 – $121
EvergreenHealth MonroeMonroe—$67.20 – $88.00$84.00 – $110
Highline Medical CenterBurienFile dated 2026-02-28—$38.72 – $165$127 – $541
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61 – $52.67$49.44 – $75.24
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$19.87 – $35.91$49.67 – $89.76
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$4.72$11.78
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$4.82$12.05
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$2.60 – $4.85$6.50 – $12.10
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$53.03 – $154$66.29 – $193
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$9.75 – $38.32$19.50 – $76.63
PeaceHealth St John Medical CenterLongview—$125 – $131$193 – $202
PeaceHealth United General Medical CenterSedro Woolley—$131$202
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $154$101 – $220
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$77.41$149
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $154$101 – $220
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $154$101 – $220
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $154$101 – $220
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00 – $84.88$42.86 – $121
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$60.08 – $77.41$116 – $149
Seattle Children's HospitalSeattle—$198 – $224$198 – $224
Skagit Valley HospitalMount Vernon—$97.96 – $102$122 – $127
St Anthony HospitalGig HarborFile dated 2026-02-28—$38.57 – $164$127 – $541
St Clare HospitalLakewoodFile dated 2026-02-28—$36.55 – $156$127 – $541
St Elizabeth HospitalEnumclawFile dated 2026-02-28$22.83 – $11912 plans$44.81 – $191$127 – $541
St Francis Community HospitalFederal WayFile dated 2026-02-28—$39.80 – $170$127 – $541
St Joseph Medical CenterTacomaFile dated 2026-02-28—$42.00 – $179$127 – $541
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$55.97 – $239$127 – $541
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04 – $55.69$75.08 – $116
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04 – $55.69$75.08 – $116
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04 – $55.69$75.08 – $116
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04 – $55.69$75.08 – $116
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$2.60 – $4.68$6.50 – $11.69
Three Rivers HospitalBrewster—$92.19$92.19
Virginia Mason Medical CenterSeattle—$1.07 – $1.08$2.10 – $2.12
Yakima Valley MemorialYakimaFile dated 2026-08-27—$3.77 – $10.16$9.42 – $25.40

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.