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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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$240 – $3401 plan$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
Highline Medical CenterBurienFile dated 2026-02-28—$17.26 – $160$56.50 – $524
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$155$221
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
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$101 – $163$144 – $232
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$101 – $163$144 – $232
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$61.43 – $77.6912 plans$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$15.82 – $1745 plans$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
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 during a hospital stay, 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.