HCPCS J9021
Injection, asparaginase, recombinant, (rylaze), 0.1 mg
Current codeChemotherapeutic Agent29 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $55.16 – $60.68 | — | — |
| Deaconess Medical Center | $55.16 – $60.68 | — | — |
| Harborview Medical Center | $55.47 – $61.02 | — | — |
| Island Hospital | $64.80 – $68.69 | — | — |
| Kadlec Regional Medical Center | $56.29 – $67.54 | — | — |
| Legacy Salmon Creek Medical Center | $57.97 – $63.04 | $92.74 | $143 |
| Mary Bridge Children's Hospital | $55.16 – $60.68 | $99.24 – $354 | $248 – $885 |
| MultiCare Auburn Medical Center | $55.16 – $60.68 | — | — |
| MultiCare Covington Medical Center | $55.16 – $60.68 | — | — |
| MultiCare Good Samaritan Hospital | $55.16 – $60.68 | — | — |
| MultiCare Valley Hospital | $56.82 – $60.68 | — | — |
| Olympic Medical Center | $68.04 – $87.48 | — | — |
| Overlake Hospital Medical Center & Clinics | $56.29 – $58.54 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $56.29 – $67.54 | $14,646 | $20,922 |
| Providence Centralia Hospital | $56.29 – $90.06 | — | — |
| Providence Holy Family Hospital | $56.29 – $61.91 | $14,646 | $20,922 |
| Providence Regional Medical Center Everett | $56.29 – $61.91 | — | — |
| Providence St Mary Medical Center | $56.29 – $61.91 | — | — |
| Providence St Peter Hospital | $56.29 – $90.06 | — | — |
| Seattle Children's Hospital | — | $34,640 | $34,640 |
| Swedish Edmonds Hospital | $56.29 – $67.54 | — | — |
| Swedish Issaquah | $56.29 – $67.54 | — | — |
| Swedish Medical Center | $56.29 – $67.54 | — | — |
| Swedish Medical Center / Cherry Hill | $56.29 – $67.54 | — | — |
| Tacoma General Allenmore Hospital | $55.16 – $60.68 | — | — |
| University of Washington Medical Ctr | $55.47 – $61.02 | — | — |
| Virginia Mason Medical Center | $38.83 – $58.24 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $55.16 – $61.78 | — | — |
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