HCPCS J9021
Injection, asparaginase, recombinant, (rylaze), 0.1 mg
Current codeChemotherapeutic Agent29 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $13,802 – $20,448 | — | — |
| Deaconess Medical Center | $12,628 – $13,371 | — | — |
| Harborview Medical Center | — | — | — |
| Island Hospital | $13,031 – $14,137 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $92.74 | $143 |
| Mary Bridge Children's Hospital | $13,062 – $14,107 | $99.24 – $354 | $248 – $885 |
| MultiCare Auburn Medical Center | $12,826 – $13,852 | — | — |
| MultiCare Covington Medical Center | $12,826 – $13,852 | — | — |
| MultiCare Good Samaritan Hospital | $13,122 – $14,172 | — | — |
| MultiCare Valley Hospital | $12,539 – $13,276 | — | — |
| Olympic Medical Center | $16,143 – $17,680 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $14,646 | $20,922 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $14,646 | $20,922 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $8,904 – $11,261 | $34,640 | $34,640 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $13,127 – $14,177 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $12,544 – $14,573 | — | — |
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