HospitalPricer

J9204

HCPCS

Inj mogamulizumab-kpkc, 1 mg

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code J9204 (Inj mogamulizumab-kpkc, 1 mg) appears at 23 hospitals with disclosed cash prices from $8,923 to $11,100. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

22
hospitals publish a price
1
list this service without a published price
21
Cash
21
List
22
Negotiated
0
Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J9204 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Published cash prices for code J9204 vary by about 24% across the 21 hospitals with disclosed prices here — from $8,923 to $11,100. Shopping around can matter.

21
Hospitals
24
Prices shown
$8,923
Lowest cash
$11,100
Highest cash

Cash price by city

Reflects your current filters.

Cash price by city$8,923$8,923
  • Allen · 1 hospital$8,923
  • Fort Worth · 4 hospitals$8,923
  • Arlington · 2 hospitals$8,923
  • Azle · 1 hospital$8,923
  • Cleburne · 1 hospital$8,923
  • Dallas · 1 hospital$8,923

24 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
Inj mogamulizumab-kpkc, 1 mg
Outpatient
Endeavor Health Edward HospitalJ9204
HCPCS
$253 – $539
Poteligeo: 1 Vial, Glass In 1 Carton (42747-761-01) / 5 Ml In 1 Vial, Glass
Inpatient & outpatient
University of Chicago Medical CenterJ9204
HCPCS
Inj mogamulizumab-kpkc, 1 mg
Outpatient
University of Chicago Medical CenterJ9204
HCPCS
Mogamulizumab-kpkc 20 MG/5ML Solution 5 mL Vial
Outpatient
Froedtert HospitalJ9204
HCPCS
$20,181$11,100$209 – $17,457
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Presbyterian Hospital AllenJ9204
HCPCS
$14,872$8,923$249 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Harris Methodist Hospital AllianceJ9204
HCPCS
$14,872$8,923$249 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Arlington Memorial HospitalJ9204
HCPCS
$14,872$8,923$5,143 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Harris Methodist Hospital AzleJ9204
HCPCS
$14,872$8,923$249 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Harris Methodist Hospital CleburneJ9204
HCPCS
$14,872$8,923$5,143 – $14,277
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Presbyterian Hospital DallasJ9204
HCPCS
$14,872$8,923$249 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Presbyterian Hospital DentonJ9204
HCPCS
$14,872$8,923$5,143 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Presbyterian Hospital Flower MoundJ9204
HCPCS
$14,872$8,923$5,143 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Harris Methodist Hospital Fort WorthJ9204
HCPCS
$14,872$8,923$5,143 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Hospital FriscoJ9204
HCPCS
$14,872$8,923$5,143 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Heart & Vascular Hospital ArlingtonJ9204
HCPCS
$14,872$8,923$249 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Harris Methodist Hospital Hurst-Euless-BedfordJ9204
HCPCS
$14,872$8,923$5,143 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Presbyterian Hospital KaufmanJ9204
HCPCS
$14,872$8,923$249 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Presbyterian Hospital PlanoJ9204
HCPCS
$14,872$8,923$249 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Hospital RockwallJ9204
HCPCS
$14,872$8,923$5,143 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Harris Methodist Hospital SouthlakeJ9204
HCPCS
$14,872$8,923$5,143 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Harris Methodist Hospital Southwest Fort WorthJ9204
HCPCS
$14,872$8,923$249 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Inpatient
Texas Health Specialty Hospital Fort WorthJ9204
HCPCS
$14,872$8,923$5,577 – $13,994
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Springwood Hospital Hurst-Euless-BedfordJ9204
HCPCS
$14,872$8,923$249 – $13,087
MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLN [141673]
Outpatient
Texas Health Harris Methodist Hospital StephenvilleJ9204
HCPCS
$14,872$8,923$249 – $13,994

How to read these prices

Cash price
The discounted self-pay price for paying directly, without insurance.
List price
The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate
A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount
A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J9204 prices

Open a hospital to see this code in the context of its full published prices.

Code J9204: frequently asked

What does code J9204 cost?
Across the published hospital price files, the disclosed cash price for J9204 ranges from $8,923 to $11,100. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?
Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J9204?
J9204 is the billing code hospitals use to identify "Inj mogamulizumab-kpkc, 1 mg" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?
Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not
It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Related

Hospitals publishing code J9204 by state