HCPCS J1809

Injection, fosdenopterin, 0.1 mg

Current code15 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.

Prices for HCPCS J1809 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$17.24 – $31.893 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$17.24 – $75.694 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$17.99 – $36.853 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$26.73 – $40.734 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1331 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$17.24 – $78.574 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$17.24 – $78.574 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$17.24 – $78.574 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$17.24 – $75.524 plans——
Seattle Children's HospitalSeattle$28,493 – $50,65498 plans$52,765$52,765
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$17.24 – $78.574 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$17.99 – $53.226 plans——
Virginia Mason Medical CenterSeattle$16.971 plan——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$44.381 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$27.58 – $29.472 plans——

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

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)
$17.74 (APC 0884)
Surgery center payment (national)
$17.74