HCPCS Q0175
Perphenazine, 4 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 code18 hospitals with prices
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) |
|---|---|---|---|
| Highline Medical Center | $2.69 – $45.00 | $1.91 – $15.27 | $6.25 – $50.00 |
| Kadlec Regional Medical Center | $1.89 – $2.47 | — | — |
| Legacy Salmon Creek Medical Center | $1.46 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $8.23 – $8.29 | $11.76 – $11.84 |
| Providence Centralia Hospital | $1.21 – $2.47 | — | — |
| Providence Holy Family Hospital | — | $8.23 – $8.29 | $11.76 – $11.84 |
| Providence St Peter Hospital | $1.00 | — | — |
| St Anthony Hospital | $4.50 – $37.50 | $1.91 – $15.21 | $6.25 – $50.00 |
| St Clare Hospital | $4.50 – $37.50 | $1.81 – $14.42 | $6.25 – $50.00 |
| St Elizabeth Hospital | $2.09 – $45.00 | $2.21 – $17.67 | $6.25 – $50.00 |
| St Francis Community Hospital | $4.50 – $37.50 | $1.97 – $15.70 | $6.25 – $50.00 |
| St Joseph Medical Center | $4.50 – $37.50 | $2.07 – $16.56 | $6.25 – $50.00 |
| St Michael Medical Center | $2.20 – $45.00 | $2.76 – $22.07 | $6.25 – $50.00 |
| 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 |
| Yakima Valley Memorial | $1.27 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.