HCPCS J9268
Injection, pentostatin, 10 mg
Current codeChemotherapeutic Agent35 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 | $2,574 – $2,831 | — | — |
| Deaconess Medical Center | $2,574 – $2,831 | — | — |
| Harborview Medical Center | $2,608 – $2,869 | — | — |
| Highline Medical Center | $2,831 – $3,256 | $2,717 | $8,897 |
| Island Hospital | $3,047 – $3,230 | — | — |
| Kadlec Regional Medical Center | $2,626 – $3,152 | — | — |
| Legacy Salmon Creek Medical Center | $2,705 – $2,941 | — | — |
| Mary Bridge Children's Hospital | $2,574 – $2,831 | — | — |
| MultiCare Auburn Medical Center | $2,574 – $2,831 | — | — |
| MultiCare Covington Medical Center | $2,574 – $2,831 | — | — |
| MultiCare Good Samaritan Hospital | $2,574 – $2,831 | — | — |
| MultiCare Valley Hospital | $2,651 – $2,831 | — | — |
| Olympic Medical Center | $3,199 – $4,113 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,626 – $2,731 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,626 – $3,152 | — | — |
| Providence Centralia Hospital | $2,626 – $4,202 | — | — |
| Providence Holy Family Hospital | $2,626 – $2,889 | — | — |
| Providence Regional Medical Center Everett | $2,626 – $2,889 | — | — |
| Providence St Mary Medical Center | $2,626 – $2,889 | — | — |
| Providence St Peter Hospital | $2,626 – $4,202 | — | — |
| St Anthony Hospital | $2,883 – $3,316 | $2,706 | $8,897 |
| St Clare Hospital | $3,030 – $3,485 | $2,565 | $8,897 |
| St Elizabeth Hospital | $1,602 – $1,957 | $3,144 | $8,897 |
| St Francis Community Hospital | $2,831 – $3,256 | $2,792 | $8,897 |
| St Joseph Medical Center | $2,883 – $3,316 | $2,947 | $8,897 |
| St Michael Medical Center | $2,965 – $3,202 | $3,927 | $8,897 |
| Swedish Edmonds Hospital | $2,626 – $3,152 | — | — |
| Swedish Issaquah | $2,626 – $3,152 | $7,229 | $15,060 |
| Swedish Medical Center | $2,626 – $3,152 | $7,229 | $15,060 |
| Swedish Medical Center / Cherry Hill | $2,626 – $3,152 | $7,229 | $15,060 |
| Tacoma General Allenmore Hospital | $2,574 – $2,831 | — | — |
| University of Washington Medical Ctr | $2,608 – $2,869 | — | — |
| Virginia Mason Medical Center | $1,826 – $2,739 | $3,993 | $7,829 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,574 – $2,883 | — | — |
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