HCPCS J9120
Injection, dactinomycin, 0.5 mg
Current codeChemotherapeutic Agent42 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $331 – $364 | — | — |
| Deaconess Medical Center | $331 – $364 | — | — |
| EvergreenHealth Medical Center | $564 – $575 | $2,078 | $2,598 |
| Harborview Medical Center | $328 – $361 | — | — |
| Highline Medical Center | $337 – $388 | $1,014 | $3,322 |
| Island Hospital | $384 – $407 | — | — |
| Kadlec Regional Medical Center | $338 – $405 | $1,164 – $7,556 | $1,663 – $10,794 |
| Legacy Salmon Creek Medical Center | $348 – $378 | — | — |
| Mary Bridge Children's Hospital | $331 – $364 | $813 – $1,777 | $2,032 – $4,442 |
| MultiCare Auburn Medical Center | $331 – $364 | — | — |
| MultiCare Covington Medical Center | $331 – $364 | — | — |
| MultiCare Good Samaritan Hospital | $331 – $364 | — | — |
| MultiCare Valley Hospital | $341 – $364 | — | — |
| Olympic Medical Center | $403 – $518 | — | — |
| Overlake Hospital Medical Center & Clinics | $338 – $351 | $530 – $554 | $1,060 – $1,108 |
| PeaceHealth Peace Island Medical Center | — | $835 – $7,984 | $1,284 – $12,283 |
| PeaceHealth Southwest Medical Cente | $308 – $354 | $835 – $7,984 | $1,284 – $12,283 |
| PeaceHealth St John Medical Center | $240 – $339 | $835 – $7,984 | $1,284 – $12,283 |
| PeaceHealth St Joseph Medical Center | $308 – $339 | $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. | $338 – $405 | $6,233 | $8,905 |
| Providence Centralia Hospital | $338 – $540 | — | — |
| Providence Holy Family Hospital | $338 – $371 | $6,233 | $8,905 |
| Providence Regional Medical Center Everett | $338 – $371 | — | — |
| Providence St Mary Medical Center | $338 – $371 | $2,609 | $3,728 |
| Providence St Peter Hospital | $338 – $540 | — | — |
| Seattle Children's Hospital | — | $4,875 | $4,875 |
| St Anthony Hospital | $343 – $395 | $1,010 | $3,322 |
| St Clare Hospital | $327 – $376 | $957 | $3,322 |
| St Elizabeth Hospital | $598 – $731 | $1,174 | $3,322 |
| St Francis Community Hospital | $337 – $388 | $1,042 | $3,322 |
| St Joseph Medical Center | $343 – $758 | $1,100 | $3,322 |
| St Michael Medical Center | $351 – $381 | $1,466 | $3,322 |
| Swedish Edmonds Hospital | $338 – $405 | $1,074 | $2,238 |
| Swedish Issaquah | $338 – $405 | $1,083 – $6,973 | $2,256 – $14,526 |
| Swedish Medical Center | $338 – $405 | $1,074 – $6,973 | $2,238 – $14,526 |
| Swedish Medical Center / Cherry Hill | $338 – $405 | $1,083 – $6,973 | $2,256 – $14,526 |
| Tacoma General Allenmore Hospital | $331 – $364 | — | — |
| University of Washington Medical Ctr | $328 – $361 | — | — |
| Virginia Mason Medical Center | $230 – $345 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $331 – $371 | — | — |
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