Fulvestrant injection, 25 mg at Dignity Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FULVESTRA250MG/5MLSYRJWTB

Phoenix, AZ

See all hospitals reporting HCPCS J9395 →

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Pricing by billing methodology

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How this price compares nationally

Dignity Health’s median price of $9 is 71% below the median hospital's median price ($32), higher than 20% of the 1,878 hospitals reporting HCPCS J9395. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9395 at Dignity Health

Negotiated rates from the hospital’s own file: 8 payers, 28 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 commercial\|navigate fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
2	UnitedHealthcare medicaid\|all plans fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
3	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$7	$7	—	—	1–10	$7 – $7
4	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
5	UnitedHealthcare medicare\|dual complete case rate · outpatient	$7	$7	—	—	—	$7 – $7
6	UnitedHealthcare medicare\|all other plans fee schedule · outpatient	$7	$7	—	—	17	$7 – $7
7	Aetna medicare\|all plans fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
8	Blue Cross Blue Shield medicare\|all plans fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
9	Cigna medicare\|all plans fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
10	First Health medicare\|all plans fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
11	Humana medicare\|all plans fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
12	Optum medicare\|optumcare fee schedule · outpatient	$7	$7	—	—	38	$7 – $7
13	Optum medicare\|optumhealth fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
14	Cigna commercial\|exchange fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
15	Cigna commercial\|localplus surefit fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
16	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$11	$11	—	—	44	$11 – $11
17	Blue Cross Blue Shield commercial\|maricopafocus fee schedule · outpatient	$11	$11	—	—	12	$11 – $11
18	Blue Cross Blue Shield commercial\|neighborhood fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
19	Blue Cross Blue Shield commercial\|workers comp fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
20	Cigna commercial\|all other plans fee schedule · outpatient	$12	$12	—	—	1–10	$12 – $12
21	Aetna commercial\|all plans fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
22	UnitedHealthcare commercial\|dignityhealthemployee fee schedule · outpatient	$884	$884	—	—	—	$884 – $884
23	Optum commercial\|optumhealth fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
24	Cigna commercial\|lifesource fee schedule · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
25	First Health commercial\|all plans fee schedule · inpatient	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

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