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HCPCS J9395

FULVESTRANT 250 MG/5 ML IM SYRG

Reported by 25 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$764

Median

$130

High

$10.4k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Kishwaukee HospitalDeKalb, IL$193$7$7$18.9k—
2Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$85$7$7$12.8k$0
3Natchez Hospital Company LLCNatchez, MS$7$187$377$2.3k$661
4Northwest Sahurita Hospital LLCAZ 85748, AZ$3$5$6$19$0
5Victoria of Texas LPVictoria, TX$66$187$308$1.0k$279
6Victoria of Texas LPVictoria, TX$66$187$308$1.0k$279
7Northwest Sahurita Hospital LLCAZ 85629, AZ$3$5$6$19$0
8Oro Valley Hospital LLCTucson, AZ$3$6$6$19$2
9Northwest Hospital LLCAZ 85741, AZ$3$6$6$19$2
10Triad of Alabama LLCAL 36305, AL$7$517$517$2.6k$510
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