Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION
Low
$0
Average
$2.8k
Median
$304
High
$41.2k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 91 hospitals; the 90th percentile is 25.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Barnes Jewish Hospital St. Louis, MO | $253 | $256 | $5 | 2% | 238 | $253 – $15.9k |
| 2 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $256 | $390 | $182 | 47% | 172–181 | $182 – $22.1k |
| 3 | Mayo Clinic Health System Mankato 56001-4752 | $261 | $261 | $14 | 5% | 20 | $249 – $13.7k |
| 4 | The Mercy Hospital Inc Springfield, MA | $289 | $289 | — | — | — | $289 – $14.6k |
| 5 | Mercy Health Saint Marys Grand Rapids, MI | $139 | $139 | $1 | 1% | — | $139 – $14.6k |
| 6 | Kaiser Foundation Hospital - Roseville ROSEVILLE, CA | $248 | $304 | $80 | 26% | — | $248 – $417 |
| 7 | Kaiser Foundation Hospital - Santa Clara SANTA CLARA, CA | $248 | $304 | $80 | 26% | — | $248 – $417 |
| 8 | Kaiser Foundation Hospital - Oakland/richmond Oakland, CA | $248 | $304 | $80 | 26% | — | $248 – $417 |
| 9 | Kaiser Foundation Hospital - Modesto Modesto, CA | $248 | $304 | $80 | 26% | — | $248 – $417 |
| 10 | Kaiser Foundation Hospital - South Sacramento SACRAMENTO, CA | $248 | $304 | $80 | 26% | — | $248 – $417 |
Ask Claude or any MCP client for HCPCS J9204 pricing at a specific hospital — see how to connect.