HCPCS J9021

Injection, asparaginase, recombinant, (rylaze), 0.1 mg

Current codeChemotherapeutic Agent29 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J9021 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$92.74	$143
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27	—	$99.24 – $354	$248 – $885
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$14,646	$20,922
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$14,646	$20,922
Seattle Children's HospitalSeattle	—	$34,640	$34,640

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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): $59.04 (APC 9437)
Surgery center payment (national): $59.04