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HCPCS J9130

Dacarbazine, 100 mg

Current codeChemotherapeutic Agent37 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington—$192 – $272$240 – $340
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$8.68 – $13.98$21.70 – $34.95
EvergreenHealth Medical CenterKirkland—$126 – $128$157 – $160
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$17.26 – $160$56.50 – $524
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$155$221
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$5.64 – $324$14.10 – $810
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$139$277
PeaceHealth Peace Island Medical CenterFriday Harbor—$156 – $203$240 – $312
PeaceHealth Southwest Medical CenteVancouver—$166 – $173$256 – $267
PeaceHealth St John Medical CenterLongview—$166 – $173$256 – $267
PeaceHealth St Joseph Medical CenterBellingham—$166 – $173$256 – $267
PeaceHealth United General Medical CenterSedro Woolley—$166 – $173$256 – $267
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$101 – $163$144 – $232
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$101 – $163$144 – $232
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$79.78 – $119$114 – $171
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$18.56 – $23.84$35.70 – $45.85
Seattle Children's HospitalSeattle$60.231 plan$239$239
Skagit Valley HospitalMount Vernon—$192 – $272$240 – $340
St Anthony HospitalGig HarborFile dated 2026-02-28—$17.19 – $159$56.50 – $524
St Clare HospitalLakewoodFile dated 2026-02-28—$16.29 – $151$56.50 – $524
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$19.97 – $185$56.50 – $524
St Francis Community HospitalFederal WayFile dated 2026-02-28—$17.74 – $164$56.50 – $524
St Joseph Medical CenterTacomaFile dated 2026-02-28—$18.72 – $174$56.50 – $524
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$24.94 – $231$56.50 – $524
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$164$341
Swedish IssaquahIssaquahFile dated 2026-04-01—$164$341
Swedish Medical CenterSeattleFile dated 2026-04-01—$164$341
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$164$341
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$18.56 – $519$46.38 – $1,296
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$16.85 – $18.59$33.04 – $36.46
Yakima Valley MemorialYakimaFile dated 2026-08-27—$17.52$43.78

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

CMS publishes no national amount for this code.