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 20 MG/5ML IV SOLN
Lancaster, PA
See all hospitals reporting HCPCS J9204 →Price type
Lancaster General Health’s median price of $4.0k is 1087% above the median hospital's median price ($338), higher than 86% 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: 11 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 | Cigna cigna new business facility · fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 3 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 4 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 6 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 7 | Aetna aetna medicare advantage facility · other · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 8 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 9 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 10 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 11 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 12 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 13 | Devoted devoted health medicare advantage facility · other · outpatient | $266 | $266 | — | — | — | $266 – $266 |
| 14 | Oscar oscar health plan facility · other · outpatient | $494 | $494 | — | — | — | $494 – $494 |
| 15 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $532 | $532 | — | — | — | $532 – $532 |
| 16 | Aetna aetna commercial facility · case rate · outpatient | $700 | $700 | — | — | — | $700 – $700 |
| 17 | Highmark highmark chip facility · other · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 18 | Highmark highmark aca facility · other · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 19 | Highmark highmark commercial preferred facility · other · outpatient | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 20 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 21 | Highmark highmark commercial facility · other · outpatient | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 22 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 23 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 25 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
Last updated: Mar 31, 2026
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