HCPCS J9040
Injection, bleomycin sulfate, 15 units
Current codeChemotherapeutic Agent37 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | — | $120 | $150 |
| Deaconess Medical Center | — | $17.90 – $69.09 | $44.73 – $173 |
| EvergreenHealth Medical Center | — | $365 – $1,573 | $456 – $1,966 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $7.32 – $302 | $23.95 – $990 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $190 – $342 | $272 – $488 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $354 – $668 | $884 – $1,671 |
| Overlake Hospital Medical Center & Clinics | — | $60.58 – $72.70 | $121 – $145 |
| PeaceHealth Peace Island Medical Center | — | $201 – $371 | $309 – $571 |
| PeaceHealth Southwest Medical Cente | — | $201 – $371 | $309 – $571 |
| PeaceHealth St John Medical Center | — | $201 – $371 | $309 – $571 |
| PeaceHealth St Joseph Medical Center | — | $201 – $371 | $309 – $571 |
| PeaceHealth United General Medical Center | — | $201 – $371 | $309 – $571 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $285 – $617 | $407 – $882 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $285 – $617 | $407 – $882 |
| Providence Regional Medical Center Everett | — | $198 | $380 |
| Providence St Mary Medical Center | — | $203 – $413 | $290 – $590 |
| Providence St Peter Hospital | — | $32.50 | $62.50 |
| Seattle Children's Hospital | $168 | $668 | $668 |
| Skagit Valley Hospital | — | $120 | $150 |
| St Anthony Hospital | — | $7.29 – $301 | $23.95 – $990 |
| St Clare Hospital | — | $6.91 – $285 | $23.95 – $990 |
| St Elizabeth Hospital | — | $8.47 – $350 | $23.95 – $990 |
| St Francis Community Hospital | — | $7.52 – $311 | $23.95 – $990 |
| St Joseph Medical Center | — | $7.94 – $328 | $23.95 – $990 |
| St Michael Medical Center | — | $10.58 – $437 | $23.95 – $990 |
| Swedish Edmonds Hospital | — | $164 | $341 |
| Swedish Issaquah | — | $164 | $341 |
| Swedish Medical Center | — | $164 | $341 |
| Swedish Medical Center / Cherry Hill | — | $164 | $341 |
| Tacoma General Allenmore Hospital | — | $55.64 – $552 | $139 – $1,381 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $55.35 – $88.05 | $109 – $173 |
| Yakima Valley Memorial | — | $75.74 – $303 | $189 – $756 |
Medicare (traditional) reference
CMS publishes no national amount for this code.