HCPCS J1990
Injection, chlordiazepoxide hcl, up to 100 mg
Current code21 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $23.96 – $133 | — | — |
| Deaconess Medical Center | $29.47 – $58.14 | — | — |
| Harborview Medical Center | $42.78 | — | — |
| Kadlec Regional Medical Center | $60.15 – $76.19 | — | — |
| Legacy Salmon Creek Medical Center | $45.11 | — | — |
| Mary Bridge Children's Hospital | $61.30 – $173 | — | — |
| MultiCare Auburn Medical Center | $22.58 – $161 | — | — |
| MultiCare Covington Medical Center | $22.58 – $161 | — | — |
| MultiCare Good Samaritan Hospital | $29.47 – $161 | — | — |
| MultiCare Valley Hospital | $29.47 – $58.14 | — | — |
| Overlake Hospital Medical Center & Clinics | $39.15 – $63.77 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $44.72 | — | — |
| Providence Centralia Hospital | $56.35 – $76.19 | — | — |
| Providence Holy Family Hospital | $44.72 | — | — |
| Providence Regional Medical Center Everett | $44.72 | — | — |
| Providence St Mary Medical Center | $44.72 | — | — |
| Providence St Peter Hospital | $46.51 | — | — |
| Tacoma General Allenmore Hospital | $22.58 – $161 | — | — |
| University of Washington Medical Ctr | $42.78 | — | — |
| Virginia Mason Medical Center | $65.80 – $74.67 | — | — |
| Yakima Valley Memorial | $26.83 – $30.96 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.