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HCPCS J9395

FULVESTRANT 250 MG/5ML IM SOSY

Reported by 103 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$7

Average

$1.9k

Median

$10

High

$19.8k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$7$7$15$65$14
2Northwest Iowa Hospital CorporationSioux City, IA$7$7$7$10$0
3St Luke's Methodist HospitalCedar Rapids, IA$7$7$7$13$0
4Trinity Medical CenterRock Island, IL$0$7$15$47$14
5Trinity Medical CenterBettendorf, IA$0$7$8$47$1
6Unity HealthcareMuscatine, IA$7$7$14$41$13
7Trinity Regional Medical CenterFort Dodge, IA$7$7$7$13$0
8Meriter Hospital, IncMadison, WI$7$7$7$30—
9Central Iowa Hospital CorporationDes Moines, IA$7$7$7$12$0
10Central Iowa Hospital CorporationDes Moines, IA$7$7$7$14$0
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