HCPCS J1454
Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
Current code33 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) |
|---|---|---|---|
| Capital Medical Center | $514 – $565 | — | — |
| Deaconess Medical Center | $514 – $565 | $1,069 | $2,673 |
| Harborview Medical Center | $576 – $633 | — | — |
| Island Hospital | $672 – $713 | — | — |
| Kadlec Regional Medical Center | $524 – $629 | — | — |
| Legacy Salmon Creek Medical Center | $540 – $587 | — | — |
| Mary Bridge Children's Hospital | $514 – $565 | — | — |
| MultiCare Auburn Medical Center | $514 – $565 | — | — |
| MultiCare Covington Medical Center | $514 – $565 | — | — |
| MultiCare Good Samaritan Hospital | $514 – $565 | — | — |
| MultiCare Valley Hospital | $529 – $565 | — | — |
| Olympic Medical Center | $706 – $908 | — | — |
| Overlake Hospital Medical Center & Clinics | $524 – $545 | — | — |
| PeaceHealth Peace Island Medical Center | — | $1,341 – $1,503 | $2,063 – $2,313 |
| PeaceHealth Southwest Medical Cente | $547 – $629 | $1,341 – $1,503 | $2,063 – $2,313 |
| PeaceHealth St John Medical Center | $427 – $602 | $1,341 – $1,503 | $2,063 – $2,313 |
| PeaceHealth St Joseph Medical Center | $547 – $602 | $1,341 – $1,503 | $2,063 – $2,313 |
| PeaceHealth United General Medical Center | — | $1,341 – $1,503 | $2,063 – $2,313 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $524 – $629 | — | — |
| Providence Centralia Hospital | $524 – $839 | — | — |
| Providence Holy Family Hospital | $524 – $577 | — | — |
| Providence Regional Medical Center Everett | $524 – $577 | — | — |
| Providence St Mary Medical Center | $524 – $577 | $2,941 | $4,201 |
| Providence St Peter Hospital | $524 – $839 | — | — |
| Swedish Edmonds Hospital | $524 – $629 | — | — |
| Swedish Issaquah | $524 – $629 | — | — |
| Swedish Medical Center | $524 – $629 | — | — |
| Swedish Medical Center / Cherry Hill | $524 – $629 | — | — |
| Tacoma General Allenmore Hospital | $514 – $565 | — | — |
| University of Washington Medical Ctr | $576 – $633 | — | — |
| Virginia Mason Medical Center | $403 – $604 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $514 – $575 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $480 (APC 9099)
- Surgery center payment (national)
- $480