HCPCS J9120

Injection, dactinomycin, 0.5 mg

Current codeChemotherapeutic Agent42 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.

Prices for HCPCS J9120 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland$398 – $3,17525 plans$2,078$2,598
Highline Medical CenterBurienFile dated 2026-02-28$1,428 – $2,9896 plans$1,014$3,322
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,164 – $7,556$1,663 – $10,794
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,329 – $3,5536 plans$813 – $1,777$2,032 – $4,442
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$530 – $554$1,060 – $1,108
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$6,233$8,905
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$6,233$8,905
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,609$3,728
Seattle Children's HospitalSeattle$2,633 – $4,68098 plans$4,875$4,875
St Anthony HospitalGig HarborFile dated 2026-02-28$1,827 – $2,4914 plans$1,010$3,322
St Clare HospitalLakewoodFile dated 2026-02-28$1,827 – $2,4914 plans$957$3,322
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,196 – $2,9899 plans$1,174$3,322
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,827 – $2,4914 plans$1,042$3,322
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,827 – $2,4914 plans$1,100$3,322
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,093 – $2,98910 plans$1,466$3,322
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,074$2,238
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,083 – $6,973$2,256 – $14,526
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,074 – $6,973$2,238 – $14,526
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,083 – $6,973$2,256 – $14,526

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

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)
$321 (APC 0752)
Surgery center payment (national)
$321