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HCPCS J9100

Injection, cytarabine, 100 mg

Current codeChemotherapeutic Agent33 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$5.60 – $380$13.98 – $951
EvergreenHealth Medical CenterKirkland—$96.80 – $173$121 – $216
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$33.66 – $796$110 – $2,608
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$146 – $157$209 – $224
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$306 – $609$764 – $1,522
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$12.67 – $61.24$25.34 – $122
PeaceHealth Peace Island Medical CenterFriday Harbor—$159 – $207$244 – $319
PeaceHealth Southwest Medical CenteVancouver—$159 – $207$244 – $319
PeaceHealth St John Medical CenterLongview—$159 – $207$244 – $319
PeaceHealth St Joseph Medical CenterBellingham—$158 – $207$243 – $319
PeaceHealth United General Medical CenterSedro Woolley—$159 – $207$244 – $319
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$101 – $199$144 – $284
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$101 – $199$144 – $284
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$46.43 – $72.25$89.29 – $139
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$90.41$129
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$18.56 – $24.48$35.70 – $47.08
Seattle Children's HospitalSeattle—$184 – $324$184 – $324
St Anthony HospitalGig HarborFile dated 2026-02-28—$33.52 – $793$110 – $2,608
St Clare HospitalLakewoodFile dated 2026-02-28—$31.77 – $752$110 – $2,608
St Elizabeth HospitalEnumclawFile dated 2026-02-28$19.84 – $57412 plans$38.95 – $921$110 – $2,608
St Francis Community HospitalFederal WayFile dated 2026-02-28—$34.59 – $818$110 – $2,608
St Joseph Medical CenterTacomaFile dated 2026-02-28—$36.50 – $864$110 – $2,608
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$48.64 – $1,151$110 – $2,608
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
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$1.92 – $9.28$3.77 – $18.19
Yakima Valley MemorialYakimaFile dated 2026-08-27—$11.58 – $511$28.93 – $1,278

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.