HCPCS J9021
Injection, asparaginase, recombinant, (rylaze), 0.1 mg
Current codeChemotherapeutic Agent29 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 | $47.34 – $323 | — | — |
| Deaconess Medical Center | $75.80 – $215 | — | — |
| Harborview Medical Center | $58.80 – $120 | — | — |
| Island Hospital | $56.18 – $117 | — | — |
| Kadlec Regional Medical Center | $50.96 – $206 | — | — |
| Legacy Salmon Creek Medical Center | $57.67 – $122 | $92.74 | $143 |
| Mary Bridge Children's Hospital | $56.29 – $46,369 | $99.24 – $354 | $248 – $885 |
| MultiCare Auburn Medical Center | $63.12 – $223 | — | — |
| MultiCare Covington Medical Center | $63.12 – $223 | — | — |
| MultiCare Good Samaritan Hospital | $75.80 – $223 | — | — |
| MultiCare Valley Hospital | $75.80 – $215 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $48.73 – $155 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $39.75 – $187 | $14,646 | $20,922 |
| Providence Centralia Hospital | $52.60 – $399 | — | — |
| Providence Holy Family Hospital | $50.96 – $173 | $14,646 | $20,922 |
| Providence Regional Medical Center Everett | $43.31 – $131 | — | — |
| Providence St Mary Medical Center | $52.60 – $372 | — | — |
| Providence St Peter Hospital | $47.84 – $184 | — | — |
| Seattle Children's Hospital | $18,706 – $33,254 | $34,640 | $34,640 |
| Swedish Edmonds Hospital | $54.48 – $143 | — | — |
| Swedish Issaquah | $52.60 – $131 | — | — |
| Swedish Medical Center | $52.60 – $201 | — | — |
| Swedish Medical Center / Cherry Hill | $52.60 – $201 | — | — |
| Tacoma General Allenmore Hospital | $63.12 – $223 | — | — |
| University of Washington Medical Ctr | $58.80 – $174 | — | — |
| Virginia Mason Medical Center | $52.79 – $192 | — | — |
| Wellfound Behavioral Health Hospital | $142 | — | — |
| Yakima Valley Memorial | $88.26 – $132 | — | — |
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)
- $59.04 (APC 9437)
- Surgery center payment (national)
- $59.04