HCPCS J9060 (Cisplatin) Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Chemotherapy Drugs |
| Common Place of Service | • None • 11 - Office • 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicare Payment Limit | $2.294  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9504-01 - CISPLATIN (MDV,PF,LATEX-FREE) 1 MG/1 ML • 00143-9505-01 - CISPLATIN (MDV,PF,LATEX-FREE) 1 MG/1 ML • 00703-5747-11 - CISPLATIN (M.D.V.) 1 MG/ML • 16729-0288-11 - CISPLATIN (LATEX-FREE) 1 MG/1 ML • 16729-0288-38 - CISPLATIN (LATEX-FREE) 1 MG/1 ML |
National average reimbursement for HCPCS J9060 by major payers:
$2.81
$4.47
$2.99
$2.71
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS J9060 | ||||||
United | J9060 | $2.69 | 1437441904 - JOSHUA GRUBER | 756002868 | TX | Medical Oncology Physician (207RX0202X) |
United | J9060 | $3.98 | 1003819541 - EMERARDO FALCON JR., M.D., P.A., BRAZOSPORT HEMATOLOGY ONCOLOGY | 760326352 - (TX) EMERARDO FALCON, JR., M.D., P.A. DBA BRAZOSPORT HEMATOLOGY-ONCOLOGY | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9060 | $2.84 | 1083667737 - SIMEON JAGGERNAUTH | 852463934 - (AR) GENESISCARE LANDMARK ARKANSAS CANCER CARE PA | TX | Medical Oncology Physician (207RX0202X) |
United | J9060 | $2.36 | 1487759858 - TRINITY REGIONAL MEDICAL CENTER, UNITYPOINT HEALTH TRINITY REGIONAL MEDICAL CENTER | 420680337 - UNITY HEALTHCARE | IA | General Acute Care Hospital (282N00000X) |
United | J9060 | $18.29 | 1043318967 - UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, UCSF MEDICAL CENTER | 943281660 | CA | General Acute Care Hospital (282N00000X) |
United | J9060 | $11.84 | 1043784887 - HOUSTON MEDICAL CONSULTANTS PA, HOUSTON MEDICAL CONSULTANTS PA | 832991106 - (TX) HOUSTON MEDICAL CONSULTANTS PA | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9060 | $49.00 | 1013064823 - PAULA POHLMANN | 760273984 | TX | Medical Oncology Physician (207RX0202X) |
United | J9060 | $2.36 | 1487850970 - CELYNE BUENO HUME | 760010407 | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9060 | $2.69 | 1558637017 - ST. JOSEPH REGIONAL MEDICAL CENTER, ST. JOSEPH MEDICAL GROUP | 364851166 | ID | General Acute Care Hospital (282N00000X) |
United | J9060 | $2.69 | 1457700510 - CYNTHIA WEI | 756002868 | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9060 | $3.59 | 1205877172 - MVHS INC, WYNN HOSPITAL | 161576637 - FAXTON-ST LUKES HEALTHCARE | NY | General Acute Care Hospital (282N00000X) |
United | J9060 | $49.00 | 1124474705 - BLESSIE NELSON | 760273984 | TX | Medical Oncology Physician (207RX0202X) |
United | J9060 | $3.98 | 1225033020 - PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA, JACKSON HEALTH SYSTEMS JACKSON MEMORIAL HOSPITA | 261869328 | FL | General Acute Care Hospital (282N00000X) |
United | J9060 | $2.69 | 1871748939 - LAKE TAHOE REGIONAL HOSPITALISTS | 260755054 - LAKE TAHOE REGIONAL HOSPITALISTS | NV | General Acute Care Hospital (282N00000X) |
United | J9060 | $2.36 | 1962504175 - ST MARY MEDICAL CENTER INC, ST MARY WOUND CLINIC | 352007327 - (IN) ST MARY MEDICAL CENTER INC | IN | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS J9060 vs. Other Chemotherapy Drugs Codes
The HCPCS J9060 code is part of the Chemotherapy Drugs services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J9060 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00143-9504-01-NDC | Moderate | CISPLATIN (MDV,PF,LATEX-FREE) 1 MG/1 ML |
| J9059-HCPCS | Low | Injection, bendamustine hydrochloride (baxter), 1 mg |
| J9060-HCPCS | Low | Injection, cisplatin, powder or solution, 10 mg |
| J9061-HCPCS | Low | Injection, amivantamab-vmjw, 2 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9060 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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