HCPCS J9293
Injection, mitoxantrone hydrochloride, per 5 mg
Current codeChemotherapeutic Agent41 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 | $118 – $175 | — | — |
| Deaconess Medical Center | $108 – $114 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $573 – $869 | $1,877 – $2,845 |
| Island Hospital | $111 – $121 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $112 – $121 | — | — |
| MultiCare Auburn Medical Center | $110 – $118 | — | — |
| MultiCare Covington Medical Center | $110 – $118 | — | — |
| MultiCare Good Samaritan Hospital | $112 – $121 | — | — |
| MultiCare Valley Hospital | $107 – $113 | — | — |
| Olympic Medical Center | $138 – $151 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $316 – $363 | $632 – $727 |
| PeaceHealth Peace Island Medical Center | — | $368 – $518 | $567 – $797 |
| PeaceHealth Southwest Medical Cente | $32.12 | $368 – $518 | $567 – $797 |
| PeaceHealth St John Medical Center | $24.09 – $32.42 | $368 – $518 | $567 – $797 |
| PeaceHealth St Joseph Medical Center | $32.42 | $368 – $518 | $567 – $797 |
| PeaceHealth United General Medical Center | — | $368 – $518 | $567 – $797 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $782 – $1,368 | $1,118 – $1,955 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $782 – $1,368 | $1,118 – $1,955 |
| Providence Regional Medical Center Everett | — | $263 | $506 |
| Providence St Mary Medical Center | — | $2,018 | $2,883 |
| Providence St Peter Hospital | — | $189 | $364 |
| Seattle Children's Hospital | — | $3,998 | $3,998 |
| St Anthony Hospital | — | $571 – $865 | $1,877 – $2,845 |
| St Clare Hospital | — | $541 – $820 | $1,877 – $2,845 |
| St Elizabeth Hospital | $319 – $589 | $663 – $1,005 | $1,877 – $2,845 |
| St Francis Community Hospital | — | $589 – $893 | $1,877 – $2,845 |
| St Joseph Medical Center | — | $622 – $942 | $1,877 – $2,845 |
| St Michael Medical Center | — | $829 – $1,255 | $1,877 – $2,845 |
| Swedish Edmonds Hospital | — | $483 | $1,007 |
| Swedish Issaquah | — | $276 | $576 |
| Swedish Medical Center | — | $276 | $576 |
| Swedish Medical Center / Cherry Hill | — | $276 | $576 |
| Tacoma General Allenmore Hospital | $112 – $121 | $234 – $290 | $585 – $725 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $68.65 | $135 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $107 – $125 | — | — |
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)
- $19.42 (APC 0864)
- Surgery center payment (national)
- $19.42