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
Utica, NY
See all hospitals reporting HCPCS J9395 →Price type
MVHS, Inc.’s median price of $242 is 667% above the median hospital's median price ($32), higher than 71% 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, 15 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 | Humana humana military other · both | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Tricare humana military other · both | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Excellus excellus bcbs medicaid fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Excellus excellus bcbs medicaid hmo fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 5 | UnitedHealthcare uhc commercial fee schedule · both | $139 | $139 | — | — | — | $139 – $139 |
| 6 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $701 | $834 | $776 | 93% | — | $111 – $2.5k |
| 7 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $1.0k | $1.2k | $1.2k | 93% | — | $165 – $3.8k |
| 8 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.2k | $1.4k | $1.3k | 93% | — | $189 – $4.3k |
| 9 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.2k | $1.4k | $1.3k | 93% | 140 | $189 – $4.3k |
| 10 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.2k | $1.4k | $1.3k | 93% | 170 | $189 – $4.3k |
| 11 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.2k | $1.4k | $1.3k | 93% | — | $189 – $4.3k |
| 12 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $1.3k | $1.6k | $1.5k | 93% | — | $208 – $4.7k |
| 13 | Molina misc medicaid mco percent of total billed charges · bothfrom % of charges | $1.8k | $2.1k | $1.9k | 93% | — | $277 – $6.3k |
| 14 | UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges | $1.8k | $2.1k | $1.9k | 93% | — | $277 – $6.3k |
| 15 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $1.8k | $2.1k | $1.9k | 93% | — | $277 – $6.3k |
Last updated: Aug 7, 2026
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