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) |
|---|---|---|---|
| Capital Medical Center | $2.14 – $7.30 | — | — |
| Deaconess Medical Center | $2.52 – $14.50 | — | — |
| EvergreenHealth Medical Center | $3.25 – $17,937 | $15,430 | $19,287 |
| EvergreenHealth Monroe | $3.89 – $17,937 | $15,430 | $19,287 |
| Harborview Medical Center | $2.47 – $3.36 | — | — |
| Island Hospital | $2.90 – $3.26 | — | — |
| Kadlec Regional Medical Center | $2.90 – $6.84 | $2,047 | $2,925 |
| Legacy Salmon Creek Medical Center | $3.43 – $4.88 | — | — |
| Mary Bridge Children's Hospital | $6.85 – $6,606 | — | — |
| MultiCare Auburn Medical Center | $2.52 – $15.05 | — | — |
| MultiCare Covington Medical Center | $2.52 – $15.05 | — | — |
| MultiCare Good Samaritan Hospital | $2.52 – $15.05 | — | — |
| MultiCare Valley Hospital | $2.52 – $14.46 | — | — |
| Olympic Medical Center | $1,589 – $2,843 | $2,275 | $2,843 |
| Overlake Hospital Medical Center & Clinics | $1.62 – $7.00 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2.90 – $6.42 | $2,233 | $3,191 |
| Providence Centralia Hospital | $2.38 – $8.09 | $2,559 | $4,922 |
| Providence Holy Family Hospital | $2.06 – $6.42 | $2,233 | $3,191 |
| Providence Mount Carmel Hospital | — | $2,233 – $2,428 | $3,191 – $3,468 |
| Providence Regional Medical Center Everett | $2.06 – $6.42 | — | — |
| Providence St Joseph Hospital | — | $2,233 – $2,428 | $3,191 – $3,468 |
| Providence St Mary Medical Center | $2.38 – $6.42 | $2,403 – $2,612 | $3,433 – $3,732 |
| Providence St Peter Hospital | $1.46 – $6.70 | $2,559 – $2,763 | $4,922 – $5,313 |
| Swedish Edmonds Hospital | $2.57 – $6.18 | $2,173 | $4,528 |
| Swedish Issaquah | $2.38 – $7.27 | $2,173 | $4,528 |
| Swedish Medical Center | $2.38 – $7.27 | $2,173 | $4,528 |
| Swedish Medical Center / Cherry Hill | $2.38 – $7.27 | $2,173 – $2,362 | $4,528 – $4,922 |
| Tacoma General Allenmore Hospital | $2.52 – $15.05 | — | — |
| University of Washington Medical Ctr | $2.47 – $5.19 | — | — |
| Virginia Mason Medical Center | $1.55 – $9.63 | — | — |
| Wellfound Behavioral Health Hospital | $4.33 | — | — |
| Yakima Valley Memorial | $2.69 – $9.04 | — | — |
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