HCPCS J9266
Injection, pegaspargase, per single dose vial
Current codeChemotherapeutic Agent40 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) |
|---|---|---|---|
| Capital Medical Center | $13,802 – $20,448 | — | — |
| Deaconess Medical Center | $12,628 – $13,371 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $47,528 | $155,647 |
| Island Hospital | $13,031 – $14,137 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $13,062 – $14,107 | — | — |
| MultiCare Auburn Medical Center | $12,826 – $13,852 | — | — |
| MultiCare Covington Medical Center | $12,826 – $13,852 | — | — |
| MultiCare Good Samaritan Hospital | $13,122 – $14,172 | — | — |
| MultiCare Valley Hospital | $12,539 – $13,276 | — | — |
| Olympic Medical Center | $16,143 – $17,680 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $81,590 | $125,524 |
| PeaceHealth Southwest Medical Cente | $29,561 | $81,590 | $125,524 |
| PeaceHealth St John Medical Center | $22,171 – $29,845 | $81,590 | $125,524 |
| PeaceHealth St Joseph Medical Center | $29,845 | $81,590 | $125,524 |
| PeaceHealth United General Medical Center | — | $81,590 | $125,524 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $56,102 | $80,146 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $56,102 | $80,146 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $80,326 | $114,752 |
| Providence St Peter Hospital | — | $42,939 | $82,575 |
| St Anthony Hospital | — | $47,340 | $155,647 |
| St Clare Hospital | — | $44,864 | $155,647 |
| St Elizabeth Hospital | $26,460 – $32,219 | $55,000 | $155,647 |
| St Francis Community Hospital | — | $48,846 | $155,647 |
| St Joseph Medical Center | — | $51,550 | $155,647 |
| St Michael Medical Center | — | $68,694 | $155,647 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $13,127 – $14,177 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $12,544 – $14,573 | — | — |
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)
- $29,845 (APC 0843)
- Surgery center payment (national)
- $29,845