HCPCS J9075
Injection, cyclophosphamide, not otherwise specified, 5 mg
Current codeChemotherapeutic Agent44 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $118 – $175 | — | — |
| Cascade Valley Hospital | $1.01 – $2,079 | $1,660 | $2,075 |
| Deaconess Medical Center | $108 – $114 | $5.61 – $20.96 | $1.98 – $52.39 |
| EvergreenHealth Medical Center | — | $897 – $3,052 | $1,121 – $3,815 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $913 – $1,826 | $2,990 – $5,979 |
| Island Hospital | $111 – $121 | — | — |
| Kadlec Regional Medical Center | — | $171 – $1,745 | $245 – $2,492 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $112 – $121 | — | — |
| MultiCare Auburn Medical Center | $110 – $118 | — | — |
| MultiCare Covington Medical Center | $110 – $118 | — | — |
| MultiCare Good Samaritan Hospital | $112 – $121 | $1.45 – $13.95 | $3.61 – $34.86 |
| MultiCare Valley Hospital | $107 – $113 | — | — |
| Olympic Medical Center | $138 – $151 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $4.44 – $1,026 | $8.87 – $2,052 |
| PeaceHealth Peace Island Medical Center | — | $242 – $1,357 | $372 – $2,088 |
| PeaceHealth Southwest Medical Cente | — | $242 – $1,357 | $372 – $2,088 |
| PeaceHealth St John Medical Center | — | $242 – $1,357 | $372 – $2,088 |
| PeaceHealth St Joseph Medical Center | — | $242 – $1,357 | $372 – $2,088 |
| PeaceHealth United General Medical Center | — | $242 – $1,357 | $372 – $2,088 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $755 – $1,193 | $1,078 – $1,705 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $755 – $1,193 | $1,078 – $1,705 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | $182 – $913 | $351 – $1,756 |
| Seattle Children's Hospital | $650 – $1,172 | $2,529 – $3,604 | $2,529 – $3,604 |
| Skagit Valley Hospital | — | $1,660 | $2,075 |
| St Anthony Hospital | — | $909 – $1,819 | $2,990 – $5,979 |
| St Clare Hospital | — | $862 – $1,723 | $2,990 – $5,979 |
| St Elizabeth Hospital | $508 – $1,238 | $1,057 – $2,113 | $2,990 – $5,979 |
| St Francis Community Hospital | — | $938 – $1,876 | $2,990 – $5,979 |
| St Joseph Medical Center | — | $990 – $1,980 | $2,990 – $5,979 |
| St Michael Medical Center | — | $1,320 – $2,639 | $2,990 – $5,979 |
| Swedish Edmonds Hospital | — | $222 – $1,127 | $462 – $2,347 |
| Swedish Issaquah | — | $222 – $847 | $462 – $1,765 |
| Swedish Medical Center | — | $222 – $1,041 | $462 – $2,169 |
| Swedish Medical Center / Cherry Hill | — | $222 – $847 | $462 – $1,765 |
| Tacoma General Allenmore Hospital | $112 – $121 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $1.38 – $2.17 | $2.70 – $4.25 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $107 – $125 | $2.38 – $12.64 | $5.93 – $31.59 |
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)
- $0.69 (APC 0743)
- Surgery center payment (national)
- $0.69