HCPCS J9268

Injection, pentostatin, 10 mg

Current codeChemotherapeutic Agent35 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J9268 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,283 – $16,28616 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3,712 – $11,5319 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,765 – $5,6644 plans——
Highline Medical CenterBurienFile dated 2026-02-28$2,273 – $12,47017 plans$2,717$8,897
Island HospitalAnacortes$2,537 – $5,4846 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,273 – $10,38411 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2,640 – $6,0157 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,695 – $26,2329 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,044 – $11,97017 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,044 – $11,97017 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,712 – $11,97012 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3,712 – $11,50510 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,459 – $15,20515 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,773 – $8,71314 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,537 – $19,60013 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,273 – $8,08411 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,932 – $6,45712 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2,537 – $17,93010 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2,232 – $8,57514 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$2,273 – $13,62818 plans$2,706$8,897
St Clare HospitalLakewoodFile dated 2026-02-28$2,273 – $13,62818 plans$2,565$8,897
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,969 – $8,53017 plans$3,144$8,897
St Francis Community HospitalFederal WayFile dated 2026-02-28$2,273 – $13,62818 plans$2,792$8,897
St Joseph Medical CenterTacomaFile dated 2026-02-28$2,273 – $13,62818 plans$2,947$8,897
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,537 – $11,40918 plans$3,927$8,897
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,627 – $6,67114 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,537 – $6,45713 plans$7,229$15,060
Swedish Medical CenterSeattleFile dated 2026-04-01$2,537 – $9,38120 plans$7,229$15,060
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,537 – $9,38114 plans$7,229$15,060
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,044 – $11,97017 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,765 – $8,17913 plans——
Virginia Mason Medical CenterSeattle$2,542 – $9,69310 plans$3,993$7,829
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$6,6281 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$4,118 – $7,62313 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)
$2,613 (APC 0844)
Surgery center payment (national)
$2,613