HCPCS J9309
Injection, polatuzumab vedotin-piiq, 1 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 | $6,819 – $10,102 | — | — |
| Cascade Valley Hospital | $144 – $43,567 | $2,574 – $34,854 | $3,218 – $43,567 |
| Deaconess Medical Center | $6,239 – $6,606 | $213 – $225 | $532 – $564 |
| Harborview Medical Center | — | — | — |
| Island Hospital | $6,437 – $6,984 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $6,453 – $6,969 | — | — |
| MultiCare Auburn Medical Center | $6,336 – $6,843 | — | — |
| MultiCare Covington Medical Center | $6,336 – $6,843 | — | — |
| MultiCare Good Samaritan Hospital | $6,483 – $7,001 | — | — |
| MultiCare Valley Hospital | $6,194 – $6,559 | — | — |
| Olympic Medical Center | $7,975 – $8,734 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $1,326 – $27,757 | $2,041 – $42,703 |
| PeaceHealth Southwest Medical Cente | $142 | $6,095 – $27,757 | $9,377 – $42,703 |
| PeaceHealth St John Medical Center | $107 – $144 | $6,095 – $43,062 | $9,377 – $66,249 |
| PeaceHealth St Joseph Medical Center | $144 | $2,247 – $27,757 | $3,457 – $42,703 |
| PeaceHealth United General Medical Center | — | $6,095 – $27,757 | $9,377 – $42,703 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | $9,490 – $43,924 | $18,249 – $84,470 |
| Providence St Mary Medical Center | — | $17,222 – $80,370 | $24,603 – $114,814 |
| Providence St Peter Hospital | — | — | — |
| Skagit Valley Hospital | — | $2,574 – $34,854 | $3,218 – $43,567 |
| Swedish Edmonds Hospital | — | $12,305 – $46,666 | $25,635 – $97,221 |
| Swedish Issaquah | — | $12,305 – $46,666 | $25,635 – $97,221 |
| Swedish Medical Center | — | $12,305 – $46,666 | $25,635 – $97,221 |
| Swedish Medical Center / Cherry Hill | — | $12,305 – $46,666 | $25,635 – $97,221 |
| Tacoma General Allenmore Hospital | $6,485 – $7,004 | $239 – $251 | $598 – $627 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $253 – $253 | $496 – $497 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $6,197 – $7,200 | $210 – $220 | $525 – $549 |
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)
- $144 (APC 9331)
- Surgery center payment (national)
- $144