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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1.68 – $1.85 | — | — |
| Deaconess Medical Center | $1.68 – $1.85 | — | — |
| EvergreenHealth Medical Center | $3.34 – $3.41 | $15,430 | $19,287 |
| EvergreenHealth Monroe | $3.25 – $3.36 | $15,430 | $19,287 |
| Harborview Medical Center | $1.55 – $1.70 | — | — |
| Island Hospital | $1.81 – $1.92 | — | — |
| Kadlec Regional Medical Center | $1.72 – $2.06 | $2,047 | $2,925 |
| Legacy Salmon Creek Medical Center | $1.77 – $1.92 | — | — |
| Mary Bridge Children's Hospital | $1.68 – $1.85 | — | — |
| MultiCare Auburn Medical Center | $1.68 – $1.85 | — | — |
| MultiCare Covington Medical Center | $1.68 – $1.85 | — | — |
| MultiCare Good Samaritan Hospital | $1.68 – $1.85 | — | — |
| MultiCare Valley Hospital | $1.73 – $1.85 | — | — |
| Olympic Medical Center | $1.90 – $2.44 | $2,275 | $2,843 |
| Overlake Hospital Medical Center & Clinics | $1.72 – $1.78 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.72 – $2.06 | $2,233 | $3,191 |
| Providence Centralia Hospital | $1.72 – $2.74 | $2,559 | $4,922 |
| Providence Holy Family Hospital | $1.72 – $1.89 | $2,233 | $3,191 |
| Providence Mount Carmel Hospital | — | $2,233 – $2,428 | $3,191 – $3,468 |
| Providence Regional Medical Center Everett | $1.72 – $1.89 | — | — |
| Providence St Joseph Hospital | — | $2,233 – $2,428 | $3,191 – $3,468 |
| Providence St Mary Medical Center | $1.72 – $1.89 | $2,403 – $2,612 | $3,433 – $3,732 |
| Providence St Peter Hospital | $1.72 – $2.74 | $2,559 – $2,763 | $4,922 – $5,313 |
| Swedish Edmonds Hospital | $1.72 – $2.06 | $2,173 | $4,528 |
| Swedish Issaquah | $1.72 – $2.06 | $2,173 | $4,528 |
| Swedish Medical Center | $1.72 – $2.06 | $2,173 | $4,528 |
| Swedish Medical Center / Cherry Hill | $1.72 – $2.06 | $2,173 – $2,362 | $4,528 – $4,922 |
| Tacoma General Allenmore Hospital | $1.68 – $1.85 | — | — |
| University of Washington Medical Ctr | $1.55 – $1.70 | — | — |
| Virginia Mason Medical Center | $1.09 – $1.63 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1.68 – $1.88 | — | — |
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