HCPCS J9201
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg
Current codeChemotherapeutic Agent40 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) |
|---|---|---|---|
| Cascade Valley Hospital | $240 – $436 | $192 – $348 | $240 – $436 |
| Deaconess Medical Center | — | $3.30 – $97.34 | $8.23 – $243 |
| EvergreenHealth Medical Center | — | $161 – $541 | $201 – $676 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $64.13 – $641 | $210 – $2,100 |
| Island Hospital | $100 | $200 | $200 |
| Kadlec Regional Medical Center | — | $147 – $349 | $210 – $499 |
| Legacy Salmon Creek Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | $58.50 | $146 |
| MultiCare Good Samaritan Hospital | — | $56.97 – $68.28 | $142 – $171 |
| MultiCare Valley Hospital | — | $83.38 | $208 |
| Olympic Medical Center | — | $85.29 – $1,017 | $107 – $1,271 |
| Overlake Hospital Medical Center & Clinics | — | $18.36 – $37.19 | $36.73 – $74.38 |
| PeaceHealth Peace Island Medical Center | — | $152 – $225 | $234 – $347 |
| PeaceHealth Southwest Medical Cente | — | $152 – $237 | $234 – $365 |
| PeaceHealth St John Medical Center | — | $152 – $225 | $234 – $347 |
| PeaceHealth St Joseph Medical Center | — | $152 – $225 | $234 – $347 |
| PeaceHealth United General Medical Center | — | $152 – $225 | $234 – $347 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $123 – $288 | $175 – $411 |
| Providence Centralia Hospital | — | $18.56 | $35.70 |
| Providence Holy Family Hospital | — | $123 – $288 | $175 – $411 |
| Providence Regional Medical Center Everett | — | $44.85 – $59.76 | $86.25 – $115 |
| Providence St Mary Medical Center | — | $79.78 – $238 | $114 – $341 |
| Providence St Peter Hospital | — | $18.56 – $32.07 | $35.70 – $61.68 |
| Seattle Children's Hospital | $157 – $198 | $609 | $609 |
| Skagit Valley Hospital | $117 | $192 – $348 | $240 – $436 |
| St Anthony Hospital | — | $63.88 – $639 | $210 – $2,100 |
| St Clare Hospital | — | $60.54 – $605 | $210 – $2,100 |
| St Elizabeth Hospital | $35.70 – $435 | $74.21 – $742 | $210 – $2,100 |
| St Francis Community Hospital | — | $65.91 – $659 | $210 – $2,100 |
| St Joseph Medical Center | — | $69.56 – $696 | $210 – $2,100 |
| St Michael Medical Center | — | $92.69 – $927 | $210 – $2,100 |
| Swedish Edmonds Hospital | — | $164 | $341 |
| Swedish Issaquah | — | $164 | $341 |
| Swedish Medical Center | — | $164 | $341 |
| Swedish Medical Center / Cherry Hill | — | $164 | $341 |
| Tacoma General Allenmore Hospital | — | $7.80 – $510 | $19.50 – $1,276 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $7.87 – $17.24 | $15.44 – $33.81 |
| Yakima Valley Memorial | — | $18.12 – $66.48 | $45.28 – $166 |
Medicare (traditional) reference
CMS publishes no national amount for this code.