HCPCS J9286
Injection, glofitamab-gxbm, 2.5 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 | $2,784 – $3,062 | — | — |
| Deaconess Medical Center | $2,784 – $3,062 | — | — |
| Harborview Medical Center | $2,768 – $3,045 | — | — |
| Highline Medical Center | — | $4,867 – $19,466 | $15,940 – $63,750 |
| Island Hospital | $3,233 – $3,427 | — | — |
| Kadlec Regional Medical Center | $2,841 – $3,409 | — | — |
| Legacy Salmon Creek Medical Center | $2,926 – $3,182 | — | — |
| Mary Bridge Children's Hospital | $2,784 – $3,062 | — | — |
| MultiCare Auburn Medical Center | $2,784 – $3,062 | — | — |
| MultiCare Covington Medical Center | $2,784 – $3,062 | — | — |
| MultiCare Good Samaritan Hospital | $2,784 – $3,062 | — | — |
| MultiCare Valley Hospital | $2,867 – $3,062 | — | — |
| Olympic Medical Center | $3,395 – $4,365 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,841 – $2,954 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,841 – $3,409 | — | — |
| Providence Centralia Hospital | $2,841 – $4,545 | — | — |
| Providence Holy Family Hospital | $2,841 – $3,125 | — | — |
| Providence Regional Medical Center Everett | $2,841 – $3,125 | — | — |
| Providence St Mary Medical Center | $2,841 – $3,125 | — | — |
| Providence St Peter Hospital | $2,841 – $4,545 | — | — |
| 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 | $2,869 – $14,025 | $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 | $2,841 – $3,409 | — | — |
| Swedish Issaquah | $2,841 – $3,409 | — | — |
| Swedish Medical Center | $2,841 – $3,409 | — | — |
| Swedish Medical Center / Cherry Hill | $2,841 – $3,409 | — | — |
| Tacoma General Allenmore Hospital | $2,784 – $3,062 | — | — |
| University of Washington Medical Ctr | $2,768 – $3,045 | — | — |
| Virginia Mason Medical Center | $1,938 – $2,906 | $5,472 – $5,472 | $10,730 – $10,730 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,784 – $3,118 | — | — |
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