HCPCS J1626
Injection, granisetron hydrochloride, 100 mcg
Current code21 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Highline Medical Center | — | $48.19 – $179 | $158 – $586 |
| Mary Bridge Children's Hospital | — | $4.02 – $12.28 | $10.04 – $30.68 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $259 | $101 – $370 |
| Providence Holy Family Hospital | — | $70.66 – $259 | $101 – $370 |
| Providence St Mary Medical Center | — | $30.00 | $42.86 |
| Providence St Peter Hospital | — | $114 | $219 |
| Seattle Children's Hospital | $13.02 – $56.08 | $50.65 – $173 | $50.65 – $173 |
| St Anthony Hospital | — | $48.00 – $178 | $158 – $586 |
| St Clare Hospital | — | $45.49 – $169 | $158 – $586 |
| St Elizabeth Hospital | $44.19 – $194 | $55.77 – $207 | $158 – $586 |
| St Francis Community Hospital | — | $49.53 – $184 | $158 – $586 |
| St Joseph Medical Center | — | $52.27 – $194 | $158 – $586 |
| St Michael Medical Center | — | $69.65 – $259 | $158 – $586 |
| Tacoma General Allenmore Hospital | — | $3.31 – $3.39 | $8.26 – $8.47 |
| Yakima Valley Memorial | — | $3.42 – $4.57 | $8.54 – $11.42 |
Medicare (traditional) reference
CMS publishes no national amount for this code.