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
$6
Average
$666
Median
$298
High
$5.3k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
73 hospitals; the 90th percentile is 133.5× 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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103 hospital rates
iThe hospitals that file a Medical Mutual 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.1k | $2.1k | $1.9k | 89% | — | $408 – $5.9k |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.1k | $1.9k | $1.8k | 94% | — | $222 – $5.9k |
| 4 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $634 | $1.3k | $1.1k | 89% | — | $245 – $3.6k |
| 5 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $756 | $1.5k | $1.4k | 91% | — | $245 – $4.9k |
| 6 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $13 | $13 | $3 | 25% | — | $9 – $16 |
| 7 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 8 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $739 | $739 | — | — | — | $739 – $739 |
| 9 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | Cookeville Regional Medical Center Cookeville, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 12 | Cookeville Regional Medical Center Cookeville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 13 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $821 | $821 | — | — | — | $821 – $821 |
| 14 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $13 | $13 | $3 | 25% | — | $9 – $16 |
| 15 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 16 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 17 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $253 | $212 | $84 | 40% | — | $45 – $270 |
| 18 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $144 | $57 | 40% | — | $31 – $183 |
| 19 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $13 | $13 | $3 | 25% | — | $9 – $16 |
| 20 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 21 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $13 | $13 | $3 | 25% | — | $9 – $16 |
| 22 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.0k | $2.0k | $1.8k | 89% | — | $388 – $5.6k |
| 23 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $2.0k | $1.8k | 89% | — | $388 – $5.6k |
| 24 | Highland District Hospital Hillsboro, OH percent of total billed charges · outpatientfrom % of charges | 2 | $111 | $111 | $53 | 47% | — | $59 – $164 |
| 25 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting HCPCS J9395 · Snapshot 20261111T120946Z-9134e7f7