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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,966 – $2,913 | — | — |
| Deaconess Medical Center | $1,799 – $1,905 | — | — |
| EvergreenHealth Medical Center | — | $15,430 | $19,287 |
| EvergreenHealth Monroe | $3.34 | $15,430 | $19,287 |
| Harborview Medical Center | — | — | — |
| Island Hospital | $1,856 – $2,014 | — | — |
| Kadlec Regional Medical Center | — | $2,047 | $2,925 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $1,861 – $2,010 | — | — |
| MultiCare Auburn Medical Center | $1,827 – $1,973 | — | — |
| MultiCare Covington Medical Center | $1,827 – $1,973 | — | — |
| MultiCare Good Samaritan Hospital | $1,869 – $2,019 | — | — |
| MultiCare Valley Hospital | $1,786 – $1,891 | — | — |
| Olympic Medical Center | $2,300 – $2,519 | $2,275 | $2,843 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| 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 Regional Medical Center Everett | — | — | — |
| 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 |
| Tacoma General Allenmore Hospital | $1,870 – $2,020 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,787 – $2,076 | — | — |
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