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
Buda, TX
See all hospitals reporting HCPCS J9204 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $6.4k is 1781% above the median hospital's median price ($338), higher than 90% of the 1,430 hospitals reporting HCPCS J9204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · inpatient | $229 | $229 | — | — | — | $229 – $229 |
| 2 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · inpatient | $237 | $237 | — | — | — | $237 – $237 |
| 3 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 4 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 5 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $246 | $246 | — | — | — | $246 – $246 |
| 6 | Humana medicare facility · fee schedule · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 7 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 8 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $266 | $266 | — | — | — | $266 – $266 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 10 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 11 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $318 | $318 | — | — | — | $318 – $318 |
| 12 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $418 | $418 | — | — | — | $418 – $418 |
| 13 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 16 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 17 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 19 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 20 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 22 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 23 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 24 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 25 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
Last updated: Jun 13, 2026
See Mogamulizumab injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.