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 INTRAMUSCULAR SYRINGE
Ozark, MO
See all hospitals reporting HCPCS J9395 →Price type
Mercy Hospital Springfield’s median price of $201 is 538% above the median hospital's median price ($32), higher than 68% 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: 12 payers, 26 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 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | $1 | 2% | — | $67 – $69 |
| 2 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | $1 | 2% | — | $67 – $69 |
| 3 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | $1 | 2% | — | $67 – $69 |
| 4 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 5 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 6 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 7 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 8 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | $2 | 2% | — | $132 – $137 |
| 9 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $139 | $139 | $2 | 2% | — | $136 – $141 |
| 10 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 11 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 12 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 13 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 14 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $191 | $191 | $3 | 2% | — | $188 – $194 |
| 15 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 16 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 17 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 18 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 19 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 20 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $232 | $232 | $4 | 2% | — | $228 – $236 |
| 21 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 22 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 23 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $249 | $249 | $4 | 2% | — | $244 – $253 |
| 24 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $261 | $261 | $5 | 2% | — | $256 – $265 |
| 25 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $263 | $263 | $5 | 2% | — | $258 – $267 |
Last updated: Jun 4, 2026
See Fulvestrant injection, 25 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.