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
Enumclaw, WA
See all hospitals reporting HCPCS J9204 →Price type
Enumclaw Regional Hospital Association’s median price of $11.1k is 3185% above the median hospital's median price ($338), higher than 95% 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: 10 payers, 33 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 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 2 | Premera commercial|all plans case rate · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 3 | Regence commercial|all plans case rate · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 4 | Aetna commercial|awh fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 5 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $315 | $315 | — | — | — | $315 – $315 |
| 6 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 7 | Aetna commercial|all other plans fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 8 | Kaiser commercial|hmo fee schedule · outpatient | $649 | $649 | — | — | — | $649 – $649 |
| 9 | Kaiser commercial|ppo fee schedule · outpatient | $714 | $714 | — | — | — | $714 – $714 |
| 10 | Kaiser medicare|all plans fee schedule · outpatient | $15.2k | $15.2k | $9.9k | 65% | — | $5.3k – $25.1k |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $15.2k | $15.2k | $9.9k | 65% | — | $5.3k – $25.1k |
| 12 | Molina medicaid|all plans fee schedule · outpatient | $15.3k | $15.3k | $10.0k | 65% | — | $5.3k – $25.2k |
| 13 | Optum medicare|all plans fee schedule · outpatient | $15.3k | $15.3k | $10.0k | 65% | — | $5.3k – $25.3k |
| 14 | Premera medicare|all plans fee schedule · outpatient | $15.6k | $15.6k | $10.2k | 65% | — | $5.4k – $25.8k |
| 15 | Regence medicare|all plans fee schedule · outpatient | $15.6k | $15.6k | $10.2k | 65% | — | $5.4k – $25.8k |
| 16 | Humana medicare|all plans fee schedule · outpatient | $16.2k | $16.2k | $10.6k | 65% | — | $5.6k – $26.8k |
| 17 | Molina medicare|all plans fee schedule · outpatient | $16.4k | $16.4k | $10.7k | 65% | — | $5.7k – $27.1k |
| 18 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $16.4k | $16.4k | $10.7k | 65% | — | $5.7k – $27.1k |
| 19 | Aetna medicare|all plans fee schedule · outpatient | $18.5k | $18.5k | $12.1k | 65% | — | $6.4k – $30.6k |
| 20 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $25.0k | $25.0k | $16.3k | 65% | — | $8.7k – $41.3k |
| 21 | Molina medicaid|all plans fee schedule · inpatient | $25.1k | $25.1k | $16.4k | 65% | — | $8.7k – $41.5k |
| 22 | Molina commercial|marketplace exchange fee schedule · outpatient | $29.1k | $29.1k | $19.0k | 65% | — | $10.1k – $48.1k |
| 23 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $30.3k | $30.3k | $19.8k | 65% | — | $10.5k – $50.1k |
| 24 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $31.2k | $31.2k | $20.3k | 65% | — | $10.8k – $51.5k |
| 25 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $32.9k | $32.9k | $21.4k | 65% | — | $11.4k – $54.3k |
Last updated: Feb 28, 2026
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