HCPCS J9120
Injection, dactinomycin, 0.5 mg
Current codeChemotherapeutic Agent42 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 | $838 – $1,242 | — | — |
| Deaconess Medical Center | $767 – $812 | — | — |
| EvergreenHealth Medical Center | — | $2,078 | $2,598 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $1,014 | $3,322 |
| Island Hospital | $791 – $859 | — | — |
| Kadlec Regional Medical Center | — | $1,164 – $7,556 | $1,663 – $10,794 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $793 – $857 | $813 – $1,777 | $2,032 – $4,442 |
| MultiCare Auburn Medical Center | $779 – $841 | — | — |
| MultiCare Covington Medical Center | $779 – $841 | — | — |
| MultiCare Good Samaritan Hospital | $797 – $861 | — | — |
| MultiCare Valley Hospital | $762 – $806 | — | — |
| Olympic Medical Center | $980 – $1,074 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $530 – $554 | $1,060 – $1,108 |
| PeaceHealth Peace Island Medical Center | — | $835 – $7,984 | $1,284 – $12,283 |
| PeaceHealth Southwest Medical Cente | $320 | $835 – $7,984 | $1,284 – $12,283 |
| PeaceHealth St John Medical Center | $240 – $323 | $835 – $7,984 | $1,284 – $12,283 |
| PeaceHealth St Joseph Medical Center | $323 | $835 – $7,984 | $1,284 – $12,283 |
| PeaceHealth United General Medical Center | — | $835 – $7,984 | $1,284 – $12,283 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $6,233 | $8,905 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $6,233 | $8,905 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $2,609 | $3,728 |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $1,253 – $1,585 | $4,875 | $4,875 |
| St Anthony Hospital | — | $1,010 | $3,322 |
| St Clare Hospital | — | $957 | $3,322 |
| St Elizabeth Hospital | $565 – $688 | $1,174 | $3,322 |
| St Francis Community Hospital | — | $1,042 | $3,322 |
| St Joseph Medical Center | — | $1,100 | $3,322 |
| St Michael Medical Center | — | $1,466 | $3,322 |
| Swedish Edmonds Hospital | — | $1,074 | $2,238 |
| Swedish Issaquah | — | $1,083 – $6,973 | $2,256 – $14,526 |
| Swedish Medical Center | — | $1,074 – $6,973 | $2,238 – $14,526 |
| Swedish Medical Center / Cherry Hill | — | $1,083 – $6,973 | $2,256 – $14,526 |
| Tacoma General Allenmore Hospital | $797 – $861 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $762 – $885 | — | — |
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