HCPCS J9286
Injection, glofitamab-gxbm, 2.5 mg
Current codeChemotherapeutic Agent35 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 | $4,427 – $6,559 | — | — |
| Deaconess Medical Center | $4,051 – $4,289 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $4,867 – $19,466 | $15,940 – $63,750 |
| Island Hospital | $4,179 – $4,534 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $4,190 – $4,525 | — | — |
| MultiCare Auburn Medical Center | $4,114 – $4,443 | — | — |
| MultiCare Covington Medical Center | $4,114 – $4,443 | — | — |
| MultiCare Good Samaritan Hospital | $4,209 – $4,546 | — | — |
| MultiCare Valley Hospital | $4,022 – $4,258 | — | — |
| Olympic Medical Center | $5,178 – $5,671 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $4,848 – $19,389 | $15,940 – $63,750 |
| St Clare Hospital | — | $4,595 – $18,375 | $15,940 – $63,750 |
| St Elizabeth Hospital | $2,710 – $13,196 | $5,633 – $22,527 | $15,940 – $63,750 |
| St Francis Community Hospital | — | $5,002 – $20,006 | $15,940 – $63,750 |
| St Joseph Medical Center | — | $5,279 – $21,114 | $15,940 – $63,750 |
| St Michael Medical Center | — | $7,035 – $28,136 | $15,940 – $63,750 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $4,211 – $4,547 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $5,472 – $5,472 | $10,730 – $10,730 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4,023 – $4,674 | — | — |
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)
- $2,859 (APC 0720)
- Surgery center payment (national)
- $2,859