HCPCS J9204
Injection, mogamulizumab-kpkc, 1 mg
Current codeChemotherapeutic Agent40 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | $386 | $966 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $8,932 – $42,515 | $29,250 – $139,230 |
| Island Hospital | $290 – $306 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $7,004 | $10,776 |
| PeaceHealth Southwest Medical Cente | — | $7,004 | $10,776 |
| PeaceHealth St John Medical Center | — | $7,004 | $10,776 |
| PeaceHealth St Joseph Medical Center | — | $7,004 | $10,776 |
| PeaceHealth United General Medical Center | — | $7,004 | $10,776 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $16,449 | $23,498 |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $8,896 – $42,347 | $29,250 – $139,230 |
| St Clare Hospital | — | $8,431 – $40,132 | $29,250 – $139,230 |
| St Elizabeth Hospital | — | $10,336 – $49,199 | $29,250 – $139,230 |
| St Francis Community Hospital | — | $9,179 – $43,694 | $29,250 – $139,230 |
| St Joseph Medical Center | — | $9,688 – $46,113 | $29,250 – $139,230 |
| St Michael Medical Center | — | $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 |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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