HCPCS J7165

Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity

Current codeInjection - Clotting Factors32 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 J7165 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2.14 – $7.3011 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2.52 – $14.507 plans——
EvergreenHealth Medical CenterKirkland$3.25 – $17,93720 plans$15,430$19,287
EvergreenHealth MonroeMonroe$3.89 – $17,93716 plans$15,430$19,287
Harborview Medical CenterSeattleFile dated 2026-04-01$2.47 – $3.363 plans——
Island HospitalAnacortes$2.90 – $3.264 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2.90 – $6.846 plans$2,047$2,925
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3.43 – $4.885 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$6.85 – $6,6067 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2.52 – $15.0512 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2.52 – $15.0512 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2.52 – $15.057 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2.52 – $14.468 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,589 – $2,8436 plans$2,275$2,843
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1.62 – $7.0011 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2.90 – $6.4210 plans$2,233$3,191
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2.38 – $8.099 plans$2,559$4,922
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2.06 – $6.4210 plans$2,233$3,191
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$2,233 – $2,428$3,191 – $3,468
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2.06 – $6.4210 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$2,233 – $2,428$3,191 – $3,468
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2.38 – $6.427 plans$2,403 – $2,612$3,433 – $3,732
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1.46 – $6.7011 plans$2,559 – $2,763$4,922 – $5,313
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2.57 – $6.189 plans$2,173$4,528
Swedish IssaquahIssaquahFile dated 2026-04-01$2.38 – $7.2710 plans$2,173$4,528
Swedish Medical CenterSeattleFile dated 2026-04-01$2.38 – $7.2718 plans$2,173$4,528
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2.38 – $7.2712 plans$2,173 – $2,362$4,528 – $4,922
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2.52 – $15.0512 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2.47 – $5.1911 plans——
Virginia Mason Medical CenterSeattle$1.55 – $9.637 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4.331 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$2.69 – $9.0411 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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$1.71 (APC 0702)
Surgery center payment (national)
$1.71