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
Lancaster, PA
See all hospitals reporting HCPCS J9155 →Price type
Lancaster General Health’s median price of $653 is 7520% above the median hospital's median price ($9), higher than 75% 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: 11 payers, 33 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 united healthcare medicaid mco facility · case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Cigna cigna new business facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Aetna aetna medicare advantage facility · other · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 11 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Devoted devoted health medicare advantage facility · other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 13 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 14 | Oscar oscar health plan facility · other · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Aetna aetna commercial facility · case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 17 | Highmark highmark chip facility · other · outpatient | $917 | $917 | $194 | 21% | — | $723 – $1.1k |
| 18 | Highmark highmark aca facility · other · outpatient | $1.1k | $1.1k | $233 | 21% | — | $869 – $1.3k |
| 19 | Highmark highmark commercial preferred facility · other · outpatient | $1.3k | $1.3k | $267 | 21% | — | $998 – $1.5k |
| 20 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | $301 | 21% | — | $1.1k – $1.7k |
| 21 | Highmark highmark commercial facility · other · outpatient | $1.6k | $1.6k | $332 | 21% | — | $1.2k – $1.9k |
| 22 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $334 | 21% | — | $1.2k – $1.9k |
| 23 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | $339 | 21% | — | $1.3k – $1.9k |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | $339 | 21% | — | $1.3k – $1.9k |
| 25 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $339 | 21% | — | $1.3k – $1.9k |
Last updated: Mar 31, 2026
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