HCPCS J7165
Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity
Current codeInjection - Clotting Factors32 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) |
|---|---|---|---|
| EvergreenHealth Medical Center | $3.25 – $17,937 | $15,430 | $19,287 |
| EvergreenHealth Monroe | $3.89 – $17,937 | $15,430 | $19,287 |
| Kadlec Regional Medical Center | — | $2,047 | $2,925 |
| Olympic Medical Center | $1,589 – $2,843 | $2,275 | $2,843 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $2,233 | $3,191 |
| Providence Centralia Hospital | — | $2,559 | $4,922 |
| Providence Holy Family Hospital | — | $2,233 | $3,191 |
| Providence Mount Carmel Hospital | — | $2,233 – $2,428 | $3,191 – $3,468 |
| Providence St Joseph Hospital | — | $2,233 – $2,428 | $3,191 – $3,468 |
| Providence St Mary Medical Center | — | $2,403 – $2,612 | $3,433 – $3,732 |
| Providence St Peter Hospital | — | $2,559 – $2,763 | $4,922 – $5,313 |
| Swedish Edmonds Hospital | — | $2,173 | $4,528 |
| Swedish Issaquah | — | $2,173 | $4,528 |
| Swedish Medical Center | — | $2,173 | $4,528 |
| Swedish Medical Center / Cherry Hill | — | $2,173 – $2,362 | $4,528 – $4,922 |
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