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
Troy, NY
See all hospitals reporting HCPCS J9395 →Price type
Samaritan Hospital’s median price of $108 is 244% above the median hospital's median price ($32), higher than 60% 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: 13 payers, 24 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 uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 2 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 3 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 5 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 6 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 7 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 10 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 11 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 12 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 13 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 14 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 15 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $153 | $153 | $44 | 29% | — | $108 – $197 |
| 16 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 17 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
| 18 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 19 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 20 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 21 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 22 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 23 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 24 | Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
Last updated: Mar 31, 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.