HCPCS J1675

Injection, histrelin acetate, 10 micrograms

Current code16 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J1675 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.151 plan——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.151 plan——
Harborview Medical CenterSeattleFile dated 2026-04-01$2.071 plan——
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2.91 – $61,7713 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2.181 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.151 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1.151 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.151 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1.151 plan——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1.53 – $1.623 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2.91 – $3.692 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.151 plan——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2.071 plan——
Virginia Mason Medical CenterSeattle$2.56 – $2.912 plans——

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.