HCPCS A9615
Injection, pegulicianine, 1 mg
Current code28 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) |
|---|---|---|---|
| Capital Medical Center | $52.51 – $84.39 | — | — |
| Deaconess Medical Center | $52.51 – $167 | — | — |
| Harborview Medical Center | $60.01 – $81.45 | — | — |
| Island Hospital | $70.11 – $78.88 | — | — |
| Kadlec Regional Medical Center | $63.39 – $143 | — | — |
| Legacy Salmon Creek Medical Center | $47.84 – $75.02 | — | — |
| Mary Bridge Children's Hospital | $86.27 – $295 | — | — |
| MultiCare Auburn Medical Center | $52.51 – $174 | — | — |
| MultiCare Covington Medical Center | $52.51 – $174 | — | — |
| MultiCare Good Samaritan Hospital | $52.51 – $174 | — | — |
| MultiCare Valley Hospital | $52.51 – $167 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $33.76 – $110 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $56.27 – $124 | — | — |
| Providence Centralia Hospital | $37.51 – $143 | — | — |
| Providence Holy Family Hospital | $45.01 – $138 | — | — |
| Providence Regional Medical Center Everett | $45.01 – $116 | — | — |
| Providence St Mary Medical Center | $37.51 – $110 | — | — |
| Providence St Peter Hospital | $31.88 – $147 | — | — |
| Swedish Edmonds Hospital | $45.01 – $135 | — | — |
| Swedish Issaquah | $37.51 – $159 | — | — |
| Swedish Medical Center | $37.51 – $159 | — | — |
| Swedish Medical Center / Cherry Hill | $37.51 – $159 | — | — |
| Tacoma General Allenmore Hospital | $52.51 – $174 | — | — |
| University of Washington Medical Ctr | $48.01 – $118 | — | — |
| Virginia Mason Medical Center | $37.51 – $133 | — | — |
| Wellfound Behavioral Health Hospital | $94.65 | — | — |
| Yakima Valley Memorial | $58.81 – $104 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $37.51 (APC 0772)
- Surgery center payment (national)
- $37.51