HCPCS J9281
Mitomycin pyelocalyceal instillation, 1 mg
Current codeChemotherapeutic Agent29 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 | $317 – $348 | — | — |
| Deaconess Medical Center | $317 – $348 | — | — |
| EvergreenHealth Medical Center | — | $102,759 | $128,449 |
| Harborview Medical Center | $319 – $350 | — | — |
| Island Hospital | $372 – $394 | — | — |
| Kadlec Regional Medical Center | $323 – $388 | — | — |
| Legacy Salmon Creek Medical Center | $333 – $362 | — | — |
| Mary Bridge Children's Hospital | $317 – $348 | — | — |
| MultiCare Auburn Medical Center | $317 – $348 | — | — |
| MultiCare Covington Medical Center | $317 – $348 | — | — |
| MultiCare Good Samaritan Hospital | $317 – $348 | — | — |
| MultiCare Valley Hospital | $326 – $348 | — | — |
| Olympic Medical Center | $391 – $502 | — | — |
| Overlake Hospital Medical Center & Clinics | $323 – $336 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $323 – $388 | — | — |
| Providence Centralia Hospital | $323 – $517 | — | — |
| Providence Holy Family Hospital | $323 – $355 | — | — |
| Providence Regional Medical Center Everett | $323 – $355 | — | — |
| Providence St Mary Medical Center | $323 – $355 | — | — |
| Providence St Peter Hospital | $323 – $517 | — | — |
| Swedish Edmonds Hospital | $323 – $388 | $53,598 | $111,663 |
| Swedish Issaquah | $323 – $388 | $53,598 | $111,663 |
| Swedish Medical Center | $323 – $388 | $53,598 | $111,663 |
| Swedish Medical Center / Cherry Hill | $323 – $388 | $53,598 | $111,663 |
| Tacoma General Allenmore Hospital | $317 – $348 | — | — |
| University of Washington Medical Ctr | $319 – $350 | — | — |
| Virginia Mason Medical Center | $223 – $334 | $624 | $1,224 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $317 – $355 | — | — |
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)
- $329 (APC 9374)
- Surgery center payment (national)
- $329