HCPCS J9203
Injection, gemtuzumab ozogamicin, 0.1 mg
Current codeChemotherapeutic Agent36 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $207 – $1,389 | — | — |
| Deaconess Medical Center | $326 – $970 | — | — |
| Harborview Medical Center | $251 – $514 | — | — |
| Highline Medical Center | $226 – $109,061 | $12,334 – $37,003 | $40,393 – $121,179 |
| Island Hospital | $240 – $498 | — | — |
| Kadlec Regional Medical Center | $226 – $886 | $24,357 | $34,796 |
| Legacy Salmon Creek Medical Center | $261 – $525 | — | — |
| Mary Bridge Children's Hospital | $348 – $14,873 | — | — |
| MultiCare Auburn Medical Center | $276 – $1,007 | — | — |
| MultiCare Covington Medical Center | $276 – $1,007 | — | — |
| MultiCare Good Samaritan Hospital | $326 – $1,007 | — | — |
| MultiCare Valley Hospital | $326 – $968 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $210 – $1,275 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $177 – $797 | $28,121 | $40,173 |
| Providence Centralia Hospital | $230 – $1,709 | — | — |
| Providence Holy Family Hospital | $226 – $739 | $28,121 | $40,173 |
| Providence Regional Medical Center Everett | $192 – $563 | — | — |
| Providence St Mary Medical Center | $230 – $1,623 | — | — |
| Providence St Peter Hospital | $204 – $784 | $21,523 | $41,390 |
| Seattle Children's Hospital | $25,586 – $45,487 | $47,382 | $47,382 |
| St Anthony Hospital | $226 – $90,884 | $12,285 – $36,856 | $40,393 – $121,179 |
| St Clare Hospital | $226 – $90,884 | $11,643 – $34,929 | $40,393 – $121,179 |
| St Elizabeth Hospital | $199 – $109,061 | $14,273 – $42,820 | $40,393 – $121,179 |
| St Francis Community Hospital | $226 – $90,884 | $12,676 – $38,029 | $40,393 – $121,179 |
| St Joseph Medical Center | $226 – $90,884 | $13,378 – $40,134 | $40,393 – $121,179 |
| St Michael Medical Center | $230 – $109,061 | $17,827 – $53,482 | $40,393 – $121,179 |
| Swedish Edmonds Hospital | $244 – $610 | — | — |
| Swedish Issaquah | $230 – $616 | — | — |
| Swedish Medical Center | $230 – $858 | — | — |
| Swedish Medical Center / Cherry Hill | $230 – $858 | — | — |
| Tacoma General Allenmore Hospital | $276 – $1,007 | — | — |
| University of Washington Medical Ctr | $251 – $742 | — | — |
| Virginia Mason Medical Center | $230 – $827 | — | — |
| Wellfound Behavioral Health Hospital | $606 | — | — |
| Yakima Valley Memorial | $377 – $663 | — | — |
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)
- $247 (APC 9495)
- Surgery center payment (national)
- $247