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HCPCS J9040

Injection, bleomycin sulfate, 15 units

Current codeChemotherapeutic Agent37 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$12.75 – $1,2848 plans$120$150
Deaconess Medical CenterSpokaneFile dated 2026-08-27$31.76 – $1262 plans$17.90 – $69.09$44.73 – $173
EvergreenHealth Medical CenterKirkland$25.25 – $1,8287 plans$365 – $1,573$456 – $1,966
Highline Medical CenterBurienFile dated 2026-02-28$10.30 – $8916 plans$7.32 – $302$23.95 – $990
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$190 – $342$272 – $488
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$578 – $1,3366 plans$354 – $668$884 – $1,671
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$60.58 – $72.70$121 – $145
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$285 – $617$407 – $882
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$285 – $617$407 – $882
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$198$380
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$203 – $413$290 – $590
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$32.50$62.50
Seattle Children's HospitalSeattle$361 – $64298 plans$668$668
Skagit Valley HospitalMount Vernon$21.65 – $1437 plans$120$150
St Anthony HospitalGig HarborFile dated 2026-02-28$13.18 – $7434 plans$7.29 – $301$23.95 – $990
St Clare HospitalLakewoodFile dated 2026-02-28$13.18 – $7434 plans$6.91 – $285$23.95 – $990
St Elizabeth HospitalEnumclawFile dated 2026-02-28$8.63 – $8919 plans$8.47 – $350$23.95 – $990
St Francis Community HospitalFederal WayFile dated 2026-02-28$13.18 – $7434 plans$7.52 – $311$23.95 – $990
St Joseph Medical CenterTacomaFile dated 2026-02-28$13.18 – $7434 plans$7.94 – $328$23.95 – $990
St Michael Medical CenterSilverdaleFile dated 2026-02-28$15.09 – $89110 plans$10.58 – $437$23.95 – $990
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$164$341
Swedish IssaquahIssaquahFile dated 2026-04-01—$164$341
Swedish Medical CenterSeattleFile dated 2026-04-01—$164$341
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$164$341
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$82.07 – $1,0083 plans$55.64 – $552$139 – $1,381
Virginia Mason Medical CenterSeattle$69.51 – $1384 plans$55.35 – $88.05$109 – $173
Yakima Valley MemorialYakimaFile dated 2026-08-27$106 – $4241 plan$75.74 – $303$189 – $756

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

CMS publishes no national amount for this code.