HCPCS J9203
Injection, gemtuzumab ozogamicin, 0.1 mg
Current codeChemotherapeutic Agent36 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 | $4,427 – $6,559 | — | — |
| Deaconess Medical Center | $4,051 – $4,289 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $12,334 – $37,003 | $40,393 – $121,179 |
| Island Hospital | $4,179 – $4,534 | — | — |
| Kadlec Regional Medical Center | — | $24,357 | $34,796 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $4,190 – $4,525 | — | — |
| MultiCare Auburn Medical Center | $4,114 – $4,443 | — | — |
| MultiCare Covington Medical Center | $4,114 – $4,443 | — | — |
| MultiCare Good Samaritan Hospital | $4,209 – $4,546 | — | — |
| MultiCare Valley Hospital | $4,022 – $4,258 | — | — |
| Olympic Medical Center | $5,178 – $5,671 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $28,121 | $40,173 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $28,121 | $40,173 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | $21,523 | $41,390 |
| Seattle Children's Hospital | $12,179 – $15,403 | $47,382 | $47,382 |
| St Anthony Hospital | — | $12,285 – $36,856 | $40,393 – $121,179 |
| St Clare Hospital | — | $11,643 – $34,929 | $40,393 – $121,179 |
| St Elizabeth Hospital | $6,867 – $25,084 | $14,273 – $42,820 | $40,393 – $121,179 |
| St Francis Community Hospital | — | $12,676 – $38,029 | $40,393 – $121,179 |
| St Joseph Medical Center | — | $13,378 – $40,134 | $40,393 – $121,179 |
| St Michael Medical Center | — | $17,827 – $53,482 | $40,393 – $121,179 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $4,211 – $4,547 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4,023 – $4,674 | — | — |
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