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
PR MOGAMULIZUMAB-KPKC 1 MG INJ
Low
$194
Average
$1.1k
Median
$337
High
$13.7k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
93 hospitals; the 90th percentile is 4.3× 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.
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118 hospital rates
iThe hospitals that file a Highmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $303 | $302 | $6 | 2% | — | $283 – $303 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $303 | $334 | $102 | 31% | — | $161 – $549 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $301 | $301 | — | — | — | $301 – $301 |
| 4 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $260 | $260 | $16 | 6% | — | $244 – $276 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $421 | $417 | $127 | 31% | — | $244 – $582 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $303 | $302 | $6 | 2% | — | $283 – $303 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $303 | $329 | $96 | 29% | — | $161 – $523 |
| 8 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $10.2k | $8.6k | $3.3k | 38% | — | $3.0k – $10.8k |
| 9 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 2 | $268 | $268 | $1 | 0% | — | $266 – $269 |
| 10 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $330 | $366 | $130 | 35% | — | $246 – $558 |
| 11 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 12 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $301 | $301 | — | — | — | $301 – $301 |
| 13 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 7 | $287 | $7.2k | $9.1k | 127% | — | $253 – $26.0k |
| 14 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 15 | Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient | 2 | $273 | $273 | $25 | 9% | — | $249 – $298 |
| 16 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $303 | $302 | $6 | 2% | — | $283 – $303 |
| 17 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $303 | $353 | $129 | 37% | — | $199 – $596 |
| 18 | Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg, PA facility · fee schedule · outpatient | 2 | $485 | $485 | $234 | 48% | — | $251 – $719 |
| 19 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 4 | $10.0k | $8.1k | $3.7k | 46% | — | $1.7k – $10.6k |
| 20 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 21 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 22 | Hospital Development Co Spencer, WV fee schedule · both | 2 | $736 | $736 | — | — | — | $736 – $736 |
| 23 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $303 | $302 | $6 | 2% | — | $283 – $303 |
| 24 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $303 | $313 | $78 | 25% | — | $136 – $477 |
| 25 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $251 | $251 | — | — | — | $251 – $251 |
← Payers reporting HCPCS J9204 · Snapshot 20261111T120946Z-9134e7f7