Mogamulizumab injection, per 1 mg at UPMC Mercy

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.

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Generated: October 20, 2026

Original text from hospital filings

MOGAMULIZUMAB 1MG/0.25ML INJ

Pittsburgh, PA

See all hospitals reporting HCPCS J9204 →

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Mercy’s median price of $344 is 2% above the median hospital's median price ($338), higher than 51% of the 1,430 hospitals reporting HCPCS J9204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9204 at UPMC Mercy

Negotiated rates from the hospital’s own file: 6 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	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
2	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$249	$249	—	—	—	$249 – $249
4	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$263	$263	—	—	—	$263 – $263
5	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$264	$264	—	—	—	$264 – $264
6	Aetna medicare facility · fee schedule · outpatient	$267	$267	$6	2%	—	$261 – $273
7	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$268	$268	—	—	—	$268 – $268
8	Amerihealth Caritas medicare facility · fee schedule · outpatient	$268	$268	—	—	—	$268 – $268
9	Highmark medicare facility · fee schedule · outpatient	$268	$268	—	—	—	$268 – $268
10	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$288	$288	—	—	—	$288 – $288
11	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$294	$294	—	—	—	$294 – $294
12	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$294	$294	—	—	—	$294 – $294
13	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$328	$328	—	—	—	$328 – $328
14	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$328	$328	—	—	—	$328 – $328
15	Highmark managed care - social mission facility · fee schedule · outpatient	$344	$344	—	—	—	$344 – $344
16	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
17	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
18	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$354	$354	—	—	—	$354 – $354
19	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
20	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$380	$380	—	—	—	$380 – $380
21	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$380	$380	—	—	—	$380 – $380
22	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$432	$432	$86	20%	—	$346 – $518
23	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$432	$432	$86	20%	—	$346 – $518
24	Highmark managed care facility · fee schedule · outpatient	$461	$461	—	—	—	$461 – $461
25	Highmark commercial - indemnity facility · fee schedule · outpatient	$474	$474	—	—	—	$474 – $474

Page 1 of 2 · 27 rates

Last updated: Mar 6, 2026

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