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
$7
Average
$437
Median
$44
High
$3.2k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 117.0× 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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39 hospital rates
iThe hospitals that file a Premera 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $8 | $8 | — | — | 15 | $8 – $8 |
| 2 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $932 | $932 | — | — | — | $932 – $932 |
| 5 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $1.9k | $1.9k | $633 | 33% | — | $1.3k – $2.5k |
| 7 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 3 | $8 | $8 | $0 | 2% | — | $8 – $8 |
| 8 | FRANCISCAN HEALTH SYSTEM Tacoma, WA case rate · outpatient | 3 | $8 | $8 | $0 | 2% | — | $8 – $8 |
| 9 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $20 | $21 | $2 | 8% | — | $19 – $24 |
| 10 | HARRISON MEDICAL CENTER Silverdale, WA case rate · outpatient | 3 | $27 | $22 | $10 | 44% | — | $8 – $30 |
| 11 | HIGHLINE MEDICAL CENTER Burien, WA case rate · outpatient | 3 | $8 | $8 | $0 | 3% | — | $8 – $8 |
| 12 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $970 | $970 | — | — | — | $970 – $970 |
| 13 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $20 | $21 | $2 | 8% | — | $19 – $24 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 15 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $20 | $21 | $2 | 8% | — | $19 – $24 |
| 16 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $19 | $19 | $1 | 3% | — | $19 – $20 |
| 17 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $20 | $21 | $2 | 8% | — | $19 – $24 |
| 18 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $19 | $19 | $1 | 3% | — | $19 – $20 |
| 19 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $19 | $19 | $1 | 3% | — | $19 – $20 |
| 20 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $16 | $16 | — | — | — | $16 – $16 |
| 21 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | SAINT CLARE HOSPITAL Lakewood, WA case rate · outpatient | 3 | $8 | $8 | $0 | 2% | — | $8 – $8 |
| 23 | ST FRANCIS COMMUNITY HOSPITAL Federal Way, WA case rate · outpatient | 3 | $8 | $8 | $0 | 3% | — | $8 – $8 |
| 24 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $980 | $980 | — | — | — | $980 – $980 |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $852 | $852 | — | — | — | $852 – $852 |
← Payers reporting HCPCS J9395 · Snapshot 20261111T120946Z-9134e7f7