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 INTRAMUSC SYRG [23862]
Arlington, TX
See all hospitals reporting HCPCS J9395 →Price type
AMH Cath Labs LLC’s median price of $1.8k is 5515% above the median hospital's median price ($32), higher than 92% of the 1,878 hospitals reporting HCPCS J9395. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 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 | UnitedHealthcare all payer fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 2 | UnitedHealthcare ppo fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Blue Cross Blue Shield hmo fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 4 | Blue Cross Blue Shield exchange fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 6 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
| 7 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
| 8 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 9 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 10 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $313 | $313 | — | — | — | $313 – $313 |
| 11 | Blue Cross Blue Shield traditional fee schedule · outpatient | $767 | $767 | — | — | — | $767 – $767 |
| 12 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
Last updated: Apr 21, 2026
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