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HCPCS Q0169

Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

Current code29 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$1.46 – $60.007 plans$1.61 – $1.92$2.01 – $2.40
Highline Medical CenterBurienFile dated 2026-02-28$4.18 – $9374 plans$2.97 – $318$9.70 – $1,041
Island HospitalAnacortes$3.31 – $4.7512 plans$5.00$5.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.061 plan——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$20.87 – $37.346 plans$29.87$37.34
PeaceHealth Peace Island Medical CenterFriday Harbor—$1.60 – $30.93$2.46 – $47.59
PeaceHealth Southwest Medical CenteVancouver—$1.60 – $30.93$2.46 – $47.59
PeaceHealth St John Medical CenterLongview—$1.60 – $30.93$2.46 – $47.59
PeaceHealth St Joseph Medical CenterBellingham—$1.60 – $30.93$2.46 – $47.59
PeaceHealth United General Medical CenterSedro Woolley—$1.60 – $30.93$2.46 – $47.59
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$7.23 – $7.39$10.33 – $10.55
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.061 plan$1.19$2.28
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$7.23 – $7.39$10.33 – $10.55
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$7.20 – $7.39$10.29 – $10.55
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$7.20 – $7.27$10.29 – $10.38
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1.19$2.28
Seattle Children's HospitalSeattle$2.70 – $18598 plans$5.00 – $193$5.00 – $193
Skagit Valley HospitalMount Vernon$1.60 – $2.286 plans$1.61 – $1.92$2.01 – $2.40
St Anthony HospitalGig HarborFile dated 2026-02-28$6.99 – $7812 plans$2.96 – $317$9.70 – $1,041
St Clare HospitalLakewoodFile dated 2026-02-28$6.99 – $7812 plans$2.80 – $300$9.70 – $1,041
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3.24 – $9375 plans$3.43 – $368$9.70 – $1,041
St Francis Community HospitalFederal WayFile dated 2026-02-28$6.99 – $7812 plans$3.05 – $327$9.70 – $1,041
St Joseph Medical CenterTacomaFile dated 2026-02-28$6.99 – $7812 plans$3.22 – $345$9.70 – $1,041
St Michael Medical CenterSilverdaleFile dated 2026-02-28$6.60 – $9378 plans$4.29 – $459$9.70 – $1,041
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$4.06$8.45
Swedish IssaquahIssaquahFile dated 2026-04-01—$4.06$8.45
Swedish Medical CenterSeattleFile dated 2026-04-01—$4.06$8.45
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4.06$8.45
Three Rivers HospitalBrewster—$6.66$6.66

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.