HCPCS J9309
Injection, polatuzumab vedotin-piiq, 1 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 | $134 – $148 | — | — |
| Cascade Valley Hospital | $133 – $140 | $2,574 – $34,854 | $3,218 – $43,567 |
| Deaconess Medical Center | $134 – $148 | $213 – $225 | $532 – $564 |
| Harborview Medical Center | $137 – $150 | — | — |
| Island Hospital | $160 – $169 | — | — |
| Kadlec Regional Medical Center | $137 – $165 | — | — |
| Legacy Salmon Creek Medical Center | $141 – $154 | — | — |
| Mary Bridge Children's Hospital | $134 – $148 | — | — |
| MultiCare Auburn Medical Center | $134 – $148 | — | — |
| MultiCare Covington Medical Center | $134 – $148 | — | — |
| MultiCare Good Samaritan Hospital | $134 – $148 | — | — |
| MultiCare Valley Hospital | $139 – $148 | — | — |
| Olympic Medical Center | $168 – $216 | — | — |
| Overlake Hospital Medical Center & Clinics | $137 – $143 | — | — |
| PeaceHealth Peace Island Medical Center | — | $1,326 – $27,757 | $2,041 – $42,703 |
| PeaceHealth Southwest Medical Cente | $137 – $157 | $6,095 – $27,757 | $9,377 – $42,703 |
| PeaceHealth St John Medical Center | $107 – $150 | $6,095 – $43,062 | $9,377 – $66,249 |
| PeaceHealth St Joseph Medical Center | $137 – $150 | $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. | $137 – $165 | — | — |
| Providence Centralia Hospital | $137 – $220 | — | — |
| Providence Holy Family Hospital | $137 – $151 | — | — |
| Providence Regional Medical Center Everett | $137 – $151 | $9,490 – $43,924 | $18,249 – $84,470 |
| Providence St Mary Medical Center | $137 – $151 | $17,222 – $80,370 | $24,603 – $114,814 |
| Providence St Peter Hospital | $137 – $220 | — | — |
| Skagit Valley Hospital | $133 – $144 | $2,574 – $34,854 | $3,218 – $43,567 |
| Swedish Edmonds Hospital | $137 – $165 | $12,305 – $46,666 | $25,635 – $97,221 |
| Swedish Issaquah | $137 – $165 | $12,305 – $46,666 | $25,635 – $97,221 |
| Swedish Medical Center | $137 – $165 | $12,305 – $46,666 | $25,635 – $97,221 |
| Swedish Medical Center / Cherry Hill | $137 – $165 | $12,305 – $46,666 | $25,635 – $97,221 |
| Tacoma General Allenmore Hospital | $134 – $148 | $239 – $251 | $598 – $627 |
| University of Washington Medical Ctr | $137 – $150 | — | — |
| Virginia Mason Medical Center | $95.67 – $144 | $253 – $253 | $496 – $497 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $134 – $151 | $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