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HCPCS J9201

Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg

Current codeChemotherapeutic Agent40 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington—$192 – $348$240 – $436
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$3.30 – $97.34$8.23 – $243
EvergreenHealth Medical CenterKirkland—$161 – $541$201 – $676
Highline Medical CenterBurienFile dated 2026-02-28—$64.13 – $641$210 – $2,100
Island HospitalAnacortes—$200$200
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$147 – $349$210 – $499
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$58.50$146
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$56.97 – $68.28$142 – $171
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$83.38$208
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$85.29 – $1,017$107 – $1,271
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$18.36 – $37.19$36.73 – $74.38
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$123 – $288$175 – $411
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$18.56$35.70
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$123 – $288$175 – $411
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$44.85 – $59.76$86.25 – $115
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$79.78 – $238$114 – $341
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$18.56 – $32.07$35.70 – $61.68
Seattle Children's HospitalSeattle$1531 plan$609$609
Skagit Valley HospitalMount Vernon—$192 – $348$240 – $436
St Anthony HospitalGig HarborFile dated 2026-02-28—$63.88 – $639$210 – $2,100
St Clare HospitalLakewoodFile dated 2026-02-28—$60.54 – $605$210 – $2,100
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$74.21 – $742$210 – $2,100
St Francis Community HospitalFederal WayFile dated 2026-02-28—$65.91 – $659$210 – $2,100
St Joseph Medical CenterTacomaFile dated 2026-02-28—$69.56 – $696$210 – $2,100
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$92.69 – $927$210 – $2,100
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
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$7.80 – $510$19.50 – $1,276
Virginia Mason Medical CenterSeattle—$7.87 – $17.24$15.44 – $33.81
Yakima Valley MemorialYakimaFile dated 2026-08-27—$18.12 – $66.48$45.28 – $166

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

CMS publishes no national amount for this code.