HCPCS J9130
Dacarbazine, 100 mg
Current codeChemotherapeutic Agent37 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) |
|---|---|---|---|
| Cascade Valley Hospital | $2,159 – $4,200 | $192 – $272 | $240 – $340 |
| Deaconess Medical Center | — | $8.68 – $13.98 | $21.70 – $34.95 |
| EvergreenHealth Medical Center | — | $126 – $128 | $157 – $160 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $17.26 – $160 | $56.50 – $524 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $155 | $221 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $5.64 – $324 | $14.10 – $810 |
| Overlake Hospital Medical Center & Clinics | — | $139 | $277 |
| PeaceHealth Peace Island Medical Center | — | $156 – $203 | $240 – $312 |
| PeaceHealth Southwest Medical Cente | — | $166 – $173 | $256 – $267 |
| PeaceHealth St John Medical Center | — | $166 – $173 | $256 – $267 |
| PeaceHealth St Joseph Medical Center | — | $166 – $173 | $256 – $267 |
| PeaceHealth United General Medical Center | — | $166 – $173 | $256 – $267 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $101 – $163 | $144 – $232 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $101 – $163 | $144 – $232 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $79.78 – $119 | $114 – $171 |
| Providence St Peter Hospital | — | $18.56 – $23.84 | $35.70 – $45.85 |
| Seattle Children's Hospital | — | $239 | $239 |
| Skagit Valley Hospital | — | $192 – $272 | $240 – $340 |
| St Anthony Hospital | — | $17.19 – $159 | $56.50 – $524 |
| St Clare Hospital | — | $16.29 – $151 | $56.50 – $524 |
| St Elizabeth Hospital | $10.17 – $115 | $19.97 – $185 | $56.50 – $524 |
| St Francis Community Hospital | — | $17.74 – $164 | $56.50 – $524 |
| St Joseph Medical Center | — | $18.72 – $174 | $56.50 – $524 |
| St Michael Medical Center | — | $24.94 – $231 | $56.50 – $524 |
| Swedish Edmonds Hospital | — | $164 | $341 |
| Swedish Issaquah | — | $164 | $341 |
| Swedish Medical Center | — | $164 | $341 |
| Swedish Medical Center / Cherry Hill | — | $164 | $341 |
| Tacoma General Allenmore Hospital | — | $18.56 – $519 | $46.38 – $1,296 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $16.85 – $18.59 | $33.04 – $36.46 |
| Yakima Valley Memorial | — | $17.52 | $43.78 |
Medicare (traditional) reference
CMS publishes no national amount for this code.