HCPCS J9030

Bcg live intravesical instillation, 1 mg

Current codeChemotherapeutic Agent31 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

Prices for HCPCS J9030 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	$53.07 – $4184 plans	$277 – $334	$347 – $418
EvergreenHealth Medical CenterKirkland	—	$916	$1,145
Island HospitalAnacortes	$50.69 – $55.003 plans	$4.92	$4.92
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$62.80 – $68.785 plans	$639	$798
Skagit Valley HospitalMount Vernon	$53.07 – $63.394 plans	$277 – $334	$347 – $418
Virginia Mason Medical CenterSeattle	—	$6.17 – $8.72	$12.10 – $17.09

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): $3.53 (APC 9322)
Surgery center payment (national): $3.53