HCPCS J9165
Injection, diethylstilbestrol diphosphate, 250 mg
Retired code15 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $76.82 | — | — |
| Deaconess Medical Center | $33.51 | — | — |
| Mary Bridge Children's Hospital | $99.51 | — | — |
| MultiCare Auburn Medical Center | $92.94 | — | — |
| MultiCare Covington Medical Center | $92.94 | — | — |
| MultiCare Good Samaritan Hospital | $92.94 | — | — |
| MultiCare Valley Hospital | $33.51 | — | — |
| Overlake Hospital Medical Center & Clinics | $36.76 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $25.78 | — | — |
| Providence Centralia Hospital | $32.48 | — | — |
| Providence Holy Family Hospital | $25.78 | — | — |
| Providence Regional Medical Center Everett | $25.78 | — | — |
| Providence St Mary Medical Center | $25.78 | — | — |
| Providence St Peter Hospital | $26.81 | — | — |
| Tacoma General Allenmore Hospital | $92.94 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.