Inj mogamulizumab-kpkc, 1 mg cost in Pennsylvania
Inj mogamulizumab-kpkc, 1 mg · HCPCS J9204
$540.60
lowest in Pennsylvania
$691.20
state median
$13,813.20
highest in Pennsylvania
$8,304.04
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $540.60 | $180.20 – $765.85 | 15 |
| UPMC Hanover | Hanover | $540.60 | $246.01 – $397.60 | 11 |
| UPMC Lititz | Lititz | $540.60 | $246.01 – $397.60 | 9 |
| UPMC Memorial | York | $540.60 | $98.57 – $397.60 | 11 |
| UPMC Somerset | Somerset | $540.60 | $119.71 – $248.50 | 6 |
| UPMC Carlisle | Carlisle | $540.60 | $123.44 – $765.85 | 17 |
| UPMC Muncy | Muncy | $558.40 | $248.50 – $273.35 | 6 |
| UPMC Wellsboro | Wellsboro | $558.40 | $248.50 – $273.35 | 6 |
| UPMC Williamsport | Williamsport | $558.40 | $248.50 – $265.89 | 9 |
| UPMC Altoona | Altoona | $647.20 | $120.93 – $637.60 | 12 |
| UPMC East | Monroeville | $691.20 | $103.33 – $691.20 | 14 |
| UPMC Horizon-Greenville | Greenville | $691.20 | $156.90 – $308.21 | 11 |
| UPMC Jameson | New Castle | $691.20 | $123.07 – $310.62 | 11 |
| UPMC Magee | Pittsburgh | $691.20 | $122.09 – $268.38 | 9 |
| UPMC McKeesport | Mckeesport | $691.20 | $122.09 – $273.35 | 8 |
| UPMC Mercy | Pittsburgh | $691.20 | $120.93 – $273.35 | 8 |
| UPMC Northwest | Seneca | $691.20 | $156.90 – $268.38 | 9 |
| UPMC Passavant-McCandless | Pittsburgh | $691.20 | $122.09 – $273.35 | 9 |
| UPMC St. Margaret | Pittsburgh | $691.20 | $122.09 – $273.35 | 7 |
| UPMC Western Psychiatric | Pittsburgh | $691.20 | $119.63 – $273.35 | 4 |
| UPMC Bedford | Everett | $691.20 | $89.66 – $777.60 | 19 |
| UPMC Hamot | Erie | $733.60 | $120.93 – $268.38 | 13 |
| UPMC Cole | Coudersport | $11,674.80 | $248.50 – $15,566.40 | 14 |
| UPMC Presbyterian | Pittsburgh | $13,813.20 | $122.09 – $273.35 | 10 |