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
Covington, GA
See all hospitals reporting HCPCS J9204 →Price type
Piedmont Newton’s median price of $13.6k is 3928% above the median hospital's median price ($338), higher than 97% 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: 9 payers, 13 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 | Blue Cross Blue Shield blue cross hmo fee schedule · both | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 2 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 3 | Caresource caresource medicaid fee schedule · both | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 4 | UnitedHealthcare united healthcare fee schedule · both | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 5 | UnitedHealthcare united healthcare exchange fee schedule · both | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 6 | Cigna cigna fee schedule · both | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 7 | Cigna cigna connect fee schedule · both | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 8 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $17.1k | $17.1k | $13 | 0% | — | $17.1k – $17.1k |
| 9 | Aetna aetna ppo percent of total billed charges · bothfrom % of charges | $17.1k | $17.1k | $13 | 0% | — | $17.1k – $17.1k |
| 10 | First Health first health percent of total billed charges · bothfrom % of charges | $17.6k | $17.6k | $13 | 0% | — | $17.6k – $17.6k |
| 11 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $18.9k | $18.9k | $14 | 0% | — | $18.9k – $18.9k |
| 12 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $21.4k | $21.4k | $16 | 0% | — | $21.4k – $21.4k |
| 13 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $21.4k | $21.4k | $16 | 0% | — | $21.4k – $21.4k |
Last updated: Jul 1, 2026
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