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
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 | $5.80 – $60.00 | $1.61 – $1.92 | $2.01 – $2.40 |
| Highline Medical Center | — | $2.97 – $318 | $9.70 – $1,041 |
| Island Hospital | $3.25 | $5.00 | $5.00 |
| Olympic Medical Center | — | $29.87 | $37.34 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $7.23 – $7.39 | $10.33 – $10.55 |
| Providence Centralia Hospital | — | $1.19 | $2.28 |
| Providence Holy Family Hospital | — | $7.23 – $7.39 | $10.33 – $10.55 |
| Providence Mount Carmel Hospital | — | $7.20 – $7.39 | $10.29 – $10.55 |
| Providence St Joseph Hospital | — | $7.20 – $7.27 | $10.29 – $10.38 |
| Providence St Peter Hospital | — | $1.19 | $2.28 |
| Seattle Children's Hospital | — | $5.00 – $193 | $5.00 – $193 |
| Skagit Valley Hospital | — | $1.61 – $1.92 | $2.01 – $2.40 |
| St Anthony Hospital | — | $2.96 – $317 | $9.70 – $1,041 |
| St Clare Hospital | — | $2.80 – $300 | $9.70 – $1,041 |
| St Elizabeth Hospital | — | $3.43 – $368 | $9.70 – $1,041 |
| St Francis Community Hospital | — | $3.05 – $327 | $9.70 – $1,041 |
| St Joseph Medical Center | — | $3.22 – $345 | $9.70 – $1,041 |
| St Michael Medical Center | — | $4.29 – $459 | $9.70 – $1,041 |
| Swedish Edmonds Hospital | — | $4.06 | $8.45 |
| Swedish Issaquah | — | $4.06 | $8.45 |
| Swedish Medical Center | — | $4.06 | $8.45 |
| Swedish Medical Center / Cherry Hill | — | $4.06 | $8.45 |
| Three Rivers Hospital | — | $6.66 | $6.66 |
Medicare (traditional) reference
CMS publishes no national amount for this code.