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
DEGARELIX ACETATE(240 MG DOSE) 120 MG/VIAL SC SOLR
Chillicothe, OH
See all hospitals reporting HCPCS J9155 →Price type
Adena Health System’s median price of $2.4k is 27616% above the median hospital's median price ($9), higher than 97% of the 1,844 hospitals reporting HCPCS J9155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Humana medicare advantage facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Medical Mutual medicare advantage facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Molina medicare advantage/dual facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 5 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Caresource medicare advantage facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Anthem hmo facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Anthem pathway hmo facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Caresource commercial facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Molina commercial facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 11 | First Health commercial facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Aetna commercial facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Cigna commercial facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Anthem ppo facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Anthem blue preferred/blue access facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Medical Mutual managed care facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | $578 | 22% | — | $2.1k – $3.2k |
| 17 | Medical Mutual managed care facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | $578 | 22% | — | $2.1k – $3.2k |
| 18 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.4k | $3.4k | $752 | 22% | — | $2.7k – $4.2k |
| 19 | Medical Mutual traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | $800 | 22% | — | $2.9k – $4.5k |
| 20 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | $810 | 22% | — | $2.9k – $4.5k |
| 21 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | $810 | 22% | — | $2.9k – $4.5k |
| 22 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | $908 | 22% | — | $3.2k – $5.1k |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | $912 | 22% | — | $3.3k – $5.1k |
| 24 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.6k | $4.6k | $999 | 22% | — | $3.6k – $5.6k |
Last updated: Aug 19, 2026
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