HCPCS J2469
Injection, palonosetron hcl, 25 mcg
Current code35 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | — | $93.31 – $216 | $117 – $270 |
| Deaconess Medical Center | — | $1.41 – $2.67 | $3.51 – $6.66 |
| EvergreenHealth Medical Center | — | $95.20 | $119 |
| EvergreenHealth Monroe | — | $95.20 | $119 |
| Highline Medical Center | — | $582 | $1,906 |
| Kadlec Regional Medical Center | — | $34.61 – $396 | $49.44 – $565 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $3.88 – $7.68 | $9.69 – $19.18 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $43.17 – $644 | $66.42 – $991 |
| PeaceHealth Southwest Medical Cente | — | $43.17 – $644 | $66.42 – $991 |
| PeaceHealth St John Medical Center | — | $43.17 – $644 | $66.42 – $991 |
| PeaceHealth St Joseph Medical Center | — | $43.16 – $644 | $66.40 – $991 |
| PeaceHealth United General Medical Center | — | $43.17 – $644 | $66.42 – $991 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $100 | $101 – $143 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $70.66 – $100 | $101 – $143 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $30.00 – $37.69 | $42.86 – $53.84 |
| Providence St Peter Hospital | — | $72.25 | $139 |
| Seattle Children's Hospital | $27.34 | $109 | $109 |
| Skagit Valley Hospital | — | $93.31 – $216 | $117 – $270 |
| St Anthony Hospital | — | $580 | $1,906 |
| St Clare Hospital | — | $549 | $1,906 |
| St Elizabeth Hospital | — | $674 | $1,906 |
| St Francis Community Hospital | — | $598 | $1,906 |
| St Joseph Medical Center | — | $631 | $1,906 |
| St Michael Medical Center | — | $841 | $1,906 |
| Swedish Edmonds Hospital | — | $36.04 – $166 | $75.08 – $345 |
| Swedish Issaquah | — | $36.04 – $337 | $75.08 – $702 |
| Swedish Medical Center | — | $36.04 – $337 | $75.08 – $702 |
| Swedish Medical Center / Cherry Hill | — | $36.04 – $337 | $75.08 – $702 |
| Tacoma General Allenmore Hospital | — | $3.28 – $5.66 | $8.18 – $14.15 |
| Virginia Mason Medical Center | — | $10.71 | $21.00 |
| Yakima Valley Memorial | — | $5.66 – $58.65 | $14.14 – $147 |
Medicare (traditional) reference
CMS publishes no national amount for this code.