Hydromorphone (Dilaudid) injection, up to 4mg
An IV/IM opioid pain medication commonly given in ERs.
Based on typical US negotiated and cash-pay rates. Hospital charges can run significantly higher — often 2–10x these numbers. If your bill is well above this range, it's worth questioning.
- Multiple units billed for a single dose.
- Priced at $100+ per unit — hospital markup, worth negotiating.
Check the medication administration record for the actual number of doses given.
Frequently asked questions
What does CPT code J1170 mean?
An IV/IM opioid pain medication commonly given in ERs. In billing terms it's categorized as "Hydromorphone (Dilaudid) injection, up to 4mg" under Drugs.
How much should CPT J1170 cost?
Typical negotiated and cash-pay rates run about $5–$30. Hospital list prices are often 2–10× higher, but insurers rarely pay those. If your bill is well above the top of this range, ask for an itemized bill and compare.
Is CPT J1170 covered by insurance?
Most commercial plans and Medicare cover hydromorphone (dilaudid) injection, up to 4mg when it's medically necessary and coded correctly. Denials usually come from missing prior authorization, incorrect modifiers, or the payer disputing medical necessity — all of which can be appealed.
What should I do if CPT J1170 looks wrong on my bill?
Check the medication administration record for the actual number of doses given.
Can I dispute a charge for CPT J1170?
Yes. You have the right to request an itemized bill, dispute the coding with the provider's billing office, and appeal the insurer's decision. Federal rules (including the No Surprises Act for emergency and out-of-network ancillary services) protect you from many surprise charges. BillCheck can generate the appeal or negotiation letter for you.
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BillCheck provides informational analysis only and is not legal, medical, or financial advice. Verify all details before submitting any correspondence to insurers or providers. Prices shown are typical ranges and vary by region, payer, and facility.