HCPCS J9204
Injection, mogamulizumab-kpkc, 1 mg
Current codeChemotherapeutic Agent40 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 | $248 – $273 | — | — |
| Deaconess Medical Center | $248 – $273 | $386 | $966 |
| Harborview Medical Center | $249 – $273 | — | — |
| Highline Medical Center | $277 – $318 | $8,932 – $42,515 | $29,250 – $139,230 |
| Island Hospital | $290 – $308 | — | — |
| Kadlec Regional Medical Center | $253 – $304 | — | — |
| Legacy Salmon Creek Medical Center | $261 – $284 | — | — |
| Mary Bridge Children's Hospital | $248 – $273 | — | — |
| MultiCare Auburn Medical Center | $248 – $273 | — | — |
| MultiCare Covington Medical Center | $248 – $273 | — | — |
| MultiCare Good Samaritan Hospital | $248 – $273 | — | — |
| MultiCare Valley Hospital | $256 – $273 | — | — |
| Olympic Medical Center | $305 – $392 | — | — |
| Overlake Hospital Medical Center & Clinics | $253 – $264 | — | — |
| PeaceHealth Peace Island Medical Center | — | $7,004 | $10,776 |
| PeaceHealth Southwest Medical Cente | $253 – $291 | $7,004 | $10,776 |
| PeaceHealth St John Medical Center | $198 – $279 | $7,004 | $10,776 |
| PeaceHealth St Joseph Medical Center | $253 – $279 | $7,004 | $10,776 |
| PeaceHealth United General Medical Center | — | $7,004 | $10,776 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $253 – $304 | — | — |
| Providence Centralia Hospital | $253 – $406 | — | — |
| Providence Holy Family Hospital | $253 – $279 | — | — |
| Providence Regional Medical Center Everett | $253 – $279 | — | — |
| Providence St Mary Medical Center | $253 – $279 | $16,449 | $23,498 |
| Providence St Peter Hospital | $253 – $406 | — | — |
| St Anthony Hospital | $282 – $324 | $8,896 – $42,347 | $29,250 – $139,230 |
| St Clare Hospital | $276 – $318 | $8,431 – $40,132 | $29,250 – $139,230 |
| St Elizabeth Hospital | $5,265 – $30,631 | $10,336 – $49,199 | $29,250 – $139,230 |
| St Francis Community Hospital | $277 – $318 | $9,179 – $43,694 | $29,250 – $139,230 |
| St Joseph Medical Center | $273 – $324 | $9,688 – $46,113 | $29,250 – $139,230 |
| St Michael Medical Center | $290 – $313 | $12,909 – $61,449 | $29,250 – $139,230 |
| Swedish Edmonds Hospital | $253 – $304 | $11,752 | $24,483 |
| Swedish Issaquah | $253 – $304 | $11,752 | $24,483 |
| Swedish Medical Center | $253 – $304 | $11,752 | $24,483 |
| Swedish Medical Center / Cherry Hill | $253 – $304 | $11,752 | $24,483 |
| Tacoma General Allenmore Hospital | $248 – $273 | — | — |
| University of Washington Medical Ctr | $249 – $273 | — | — |
| Virginia Mason Medical Center | $174 – $261 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $248 – $278 | — | — |
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