HCPCS J9203
Injection, gemtuzumab ozogamicin, 0.1 mg
Current codeChemotherapeutic Agent36 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 | $235 – $259 | — | — |
| Deaconess Medical Center | $235 – $259 | — | — |
| Harborview Medical Center | $237 – $260 | — | — |
| Highline Medical Center | $263 – $303 | $12,334 – $37,003 | $40,393 – $121,179 |
| Island Hospital | $276 – $293 | — | — |
| Kadlec Regional Medical Center | $240 – $288 | $24,357 | $34,796 |
| Legacy Salmon Creek Medical Center | $247 – $269 | — | — |
| Mary Bridge Children's Hospital | $235 – $259 | — | — |
| MultiCare Auburn Medical Center | $235 – $259 | — | — |
| MultiCare Covington Medical Center | $235 – $259 | — | — |
| MultiCare Good Samaritan Hospital | $235 – $259 | — | — |
| MultiCare Valley Hospital | $242 – $259 | — | — |
| Olympic Medical Center | $290 – $373 | — | — |
| Overlake Hospital Medical Center & Clinics | $240 – $250 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $240 – $288 | $28,121 | $40,173 |
| Providence Centralia Hospital | $240 – $384 | — | — |
| Providence Holy Family Hospital | $240 – $264 | $28,121 | $40,173 |
| Providence Regional Medical Center Everett | $240 – $264 | — | — |
| Providence St Mary Medical Center | $240 – $264 | — | — |
| Providence St Peter Hospital | $240 – $384 | $21,523 | $41,390 |
| Seattle Children's Hospital | — | $47,382 | $47,382 |
| St Anthony Hospital | $268 – $308 | $12,285 – $36,856 | $40,393 – $121,179 |
| St Clare Hospital | $264 – $304 | $11,643 – $34,929 | $40,393 – $121,179 |
| St Elizabeth Hospital | $7,271 – $26,659 | $14,273 – $42,820 | $40,393 – $121,179 |
| St Francis Community Hospital | $263 – $303 | $12,676 – $38,029 | $40,393 – $121,179 |
| St Joseph Medical Center | $268 – $308 | $13,378 – $40,134 | $40,393 – $121,179 |
| St Michael Medical Center | $276 – $298 | $17,827 – $53,482 | $40,393 – $121,179 |
| Swedish Edmonds Hospital | $240 – $288 | — | — |
| Swedish Issaquah | $240 – $288 | — | — |
| Swedish Medical Center | $240 – $288 | — | — |
| Swedish Medical Center / Cherry Hill | $240 – $288 | — | — |
| Tacoma General Allenmore Hospital | $235 – $259 | — | — |
| University of Washington Medical Ctr | $237 – $260 | — | — |
| Virginia Mason Medical Center | $166 – $248 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $235 – $264 | — | — |
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