Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE
Low
$5
Average
$424
Median
$169
High
$3.0k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 125.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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29 hospital rates
iThe hospitals that file a Excellus rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.4k | $1.3k | 93% | 170 | $189 – $4.3k |
| 2 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $109 | $160 | $83 | 52% | — | $93 – $277 |
| 3 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $6 | $14 | $13 | 92% | — | $3 – $32 |
| 4 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $6 | $8 | $4 | 44% | — | $6 – $13 |
| 5 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $133 | $169 | $57 | 33% | — | $126 – $249 |
| 6 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $970 | $970 | — | — | — | $970 – $970 |
| 8 | MVHS, Inc. Utica, NY fee schedule · both | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 10 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $9 | $9 | $3 | 36% | — | $6 – $12 |
| 11 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $11 | $11 | $5 | 47% | — | $6 – $16 |
| 12 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $980 | $980 | — | — | — | $980 – $980 |
| 13 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $852 | $852 | — | — | — | $852 – $852 |
| 14 | Saint Marys Hospital Waterbury, CT facility · other · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 15 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $197 | $168 | $42 | 25% | — | $108 – $197 |
| 16 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 17 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 18 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 19 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 20 | St Mary Medical Center Langhorne, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $341 | $341 | — | — | — | $341 – $341 |
| 22 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 4 | $552 | $490 | $108 | 22% | — | $304 – $552 |
| 23 | St. Francis Hospital Inc Wilmington, DE facility · percent of total billed charges · bothfrom % of charges | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 24 | The Mercy Hospital Inc Springfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $672 | $672 | — | — | — | $672 – $672 |
| 25 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 3 | $6 | $9 | $5 | 54% | — | $6 – $16 |
← Payers reporting HCPCS J9395 · Snapshot 20261111T120946Z-9134e7f7