HCPCS J9225

Histrelin implant (vantas), 50 mg

Current code27 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J9225 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,411 – $22,7919 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$8,266 – $23,0422 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$9,0691 plan——
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$5,166 – $17,3315 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$5,548 – $10,2624 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$4,516 – $40,6335 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,882 – $23,92010 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,882 – $23,92010 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$8,266 – $23,9205 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,352 – $22,9903 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3,719 – $33,63910 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,352 – $10,4846 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,568 – $17,3318 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,352 – $9,9435 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$4,391 – $10,7126 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,568 – $10,3335 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,568 – $14,1306 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,882 – $10,4387 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,568 – $13,2197 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,568 – $13,21913 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,568 – $11,8317 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,882 – $23,92010 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,383 – $9,0695 plans——
Virginia Mason Medical CenterSeattle$1,568 – $15,3035 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,136 – $16,8658 plans——

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.