HCPCS J9204
Injection, mogamulizumab-kpkc, 1 mg
Current codeChemotherapeutic Agent40 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) |
|---|---|---|---|
| Deaconess Medical Center | $686 – $705 | $386 | $966 |
| Highline Medical Center | $12,578 – $125,307 | $8,932 – $42,515 | $29,250 – $139,230 |
| Providence St Mary Medical Center | — | $16,449 | $23,498 |
| St Anthony Hospital | $16,088 – $104,423 | $8,896 – $42,347 | $29,250 – $139,230 |
| St Clare Hospital | $16,088 – $104,423 | $8,431 – $40,132 | $29,250 – $139,230 |
| St Elizabeth Hospital | $10,530 – $125,307 | $10,336 – $49,199 | $29,250 – $139,230 |
| St Francis Community Hospital | $16,088 – $104,423 | $9,179 – $43,694 | $29,250 – $139,230 |
| St Joseph Medical Center | $16,088 – $104,423 | $9,688 – $46,113 | $29,250 – $139,230 |
| St Michael Medical Center | $18,428 – $125,307 | $12,909 – $61,449 | $29,250 – $139,230 |
| Swedish Edmonds Hospital | — | $11,752 | $24,483 |
| Swedish Issaquah | — | $11,752 | $24,483 |
| Swedish Medical Center | — | $11,752 | $24,483 |
| Swedish Medical Center / Cherry Hill | — | $11,752 | $24,483 |
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)
- $259 (APC 9182)
- Surgery center payment (national)
- $259