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
Maple Grove, MN
See all hospitals reporting HCPCS J9155 →Price type
Fairview Maple Grove Surgery Center’s median price of $5 is 39% below the median hospital's median price ($9), higher than 28% of the 1,836 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: 8 payers, 27 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 | Medica accessability fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Medica medicaid fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Ucare mhcp fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Blue Cross Blue Shield federal fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 5 | UnitedHealthcare medicare advantage fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Blue Cross Blue Shield federal fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Blue Cross Blue Shield commercial fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Blue Cross Blue Shield commercial fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Medica ma non-snp fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 11 | Medica ma snp fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Medica prime solution fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 13 | Medica vantage fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 14 | Blue Cross Blue Shield medicaid fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 15 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 16 | Medicaid medicaid fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 17 | Cigna commercial fee schedule · both | $5 | $5 | $0 | 9% | — | $5 – $6 |
| 18 | Cigna commercial fee schedule · outpatient | $6 | $6 | $1 | 9% | — | $5 – $7 |
| 19 | Ucare ifp with fairview fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 20 | UnitedHealthcare commercial fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 21 | Medica bold fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 22 | Medica choice without / elect fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 23 | Medica city of st paul / essential uplan fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 24 | Medica choice with fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 25 | Ucare ifp fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
Last updated: May 18, 2026
See Degarelix injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.