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
MOGAM-KPKC20MG/5MLSDVJWTB
Red Bluff, CA
See all hospitals reporting HCPCS J9204 →Price type
Dignity Health’s median price of $5.0k is 1368% above the median hospital's median price ($339), higher than 88% of the 1,425 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, 29 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 | Aetna medicare|all plans fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 7 | Anthem medicaid|all plans fee schedule · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 8 | Anthem commercial|exchange fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 9 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 11 | Anthem commercial|all other plans fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 12 | Aetna commercial|all other plans fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 13 | Aetna commercial|hmo fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 14 | Aetna commercial|ppo fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 15 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 16 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 19 | Cigna commercial|ppo fee schedule · inpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 21 | Aetna commercial|all other plans fee schedule · inpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 22 | Aetna commercial|hmo fee schedule · inpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 23 | Aetna commercial|ppo fee schedule · inpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 24 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 25 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
Last updated: Feb 28, 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.