HCPCS J9052
Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg
Current codeChemotherapeutic Agent27 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $29.44 – $260 | — | — |
| Deaconess Medical Center | $29.44 – $2,650 | — | — |
| Harborview Medical Center | $416 – $564 | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | $18.40 | — | — |
| Legacy Salmon Creek Medical Center | $23.47 – $584 | — | — |
| Mary Bridge Children's Hospital | $29.44 – $6,606 | — | — |
| MultiCare Auburn Medical Center | $29.44 – $2,751 | — | — |
| MultiCare Covington Medical Center | $29.44 – $2,751 | — | — |
| MultiCare Good Samaritan Hospital | $29.44 – $2,751 | — | — |
| MultiCare Valley Hospital | $29.44 – $2,644 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $465 – $764 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $14.35 – $500 | — | — |
| Providence Centralia Hospital | $51.52 – $630 | — | — |
| Providence Holy Family Hospital | $18.40 – $500 | — | — |
| Providence Regional Medical Center Everett | $15.64 – $500 | — | — |
| Providence St Mary Medical Center | $36.80 – $500 | — | — |
| Providence St Peter Hospital | $18.40 – $520 | — | — |
| Swedish Edmonds Hospital | $28.15 – $312 | — | — |
| Swedish Issaquah | $27.23 – $519 | — | — |
| Swedish Medical Center | $35.88 – $519 | — | — |
| Swedish Medical Center / Cherry Hill | $35.88 – $519 | — | — |
| Tacoma General Allenmore Hospital | $29.44 – $2,751 | — | — |
| University of Washington Medical Ctr | $23.55 – $814 | — | — |
| Virginia Mason Medical Center | $260 – $1,760 | — | — |
| Yakima Valley Memorial | $34.04 – $1,652 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.