HCPCS J3250

Injection, trimethobenzamide hcl, up to 200 mg

Current code18 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 J3250 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01$48.761 plan——
Island HospitalAnacortes$47.68 – $68.4013 plans$72.00$72.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$63.27 – $1944 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$90.57 – $1384 plans$9.75$15.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$94.77 – $1013 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$49.54 – $1123 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$141 – $3214 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$49.54 – $1123 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$49.54 – $1124 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$112 – $2992 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$92.53 – $1172 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$49.54 – $1074 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$49.54 – $1073 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$49.54 – $92.532 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$49.54 – $92.532 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$48.761 plan——
Virginia Mason Medical CenterSeattle$81.06 – $1229 plans$77.75$152
Yakima Valley MemorialYakimaFile dated 2026-08-27$1171 plan——

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.