HCPCS J9209
Injection, mesna, 200 mg
Current code35 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) |
|---|---|---|---|
| Deaconess Medical Center | — | $4.61 – $14.62 | $11.51 – $36.55 |
| EvergreenHealth Medical Center | — | $143 | $179 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $39.96 – $599 | $131 – $1,962 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $160 | $229 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $14.26 – $20.54 | $35.63 – $51.35 |
| Overlake Hospital Medical Center & Clinics | — | $9.75 | $19.50 |
| PeaceHealth Peace Island Medical Center | — | $170 – $325 | $261 – $500 |
| PeaceHealth Southwest Medical Cente | — | $170 – $325 | $261 – $500 |
| PeaceHealth St John Medical Center | — | $170 – $325 | $261 – $500 |
| PeaceHealth St Joseph Medical Center | — | $170 – $325 | $261 – $500 |
| PeaceHealth United General Medical Center | — | $170 – $325 | $261 – $500 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $101 – $248 | $144 – $354 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $101 – $248 | $144 – $354 |
| Providence Regional Medical Center Everett | — | $47.00 – $115 | $90.39 – $221 |
| Providence St Mary Medical Center | — | $79.78 – $205 | $114 – $293 |
| Providence St Peter Hospital | — | $48.63 | $93.51 |
| Seattle Children's Hospital | $46.27 – $69.08 | $180 – $213 | $180 – $213 |
| St Anthony Hospital | — | $39.80 – $597 | $131 – $1,962 |
| St Clare Hospital | — | $37.72 – $566 | $131 – $1,962 |
| St Elizabeth Hospital | $22.25 – $406 | $46.24 – $693 | $131 – $1,962 |
| St Francis Community Hospital | — | $41.07 – $616 | $131 – $1,962 |
| St Joseph Medical Center | — | $43.34 – $650 | $131 – $1,962 |
| St Michael Medical Center | — | $57.76 – $866 | $131 – $1,962 |
| Swedish Edmonds Hospital | — | $164 | $341 |
| Swedish Issaquah | — | $164 | $341 |
| Swedish Medical Center | — | $164 | $341 |
| Swedish Medical Center / Cherry Hill | — | $164 | $341 |
| Tacoma General Allenmore Hospital | — | $3.99 – $32.50 | $9.97 – $81.25 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $3.20 | $6.27 |
| Yakima Valley Memorial | — | $4.21 – $9.76 | $10.51 – $24.40 |
Medicare (traditional) reference
CMS publishes no national amount for this code.