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
NORWICH, CT
See all hospitals reporting HCPCS J9155 →Price type
The William W Backus Hospital’s median price of $6 is 30% below the median hospital's median price ($9), higher than 36% of the 1,844 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: 6 payers, 14 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 | Anthem anthem medicare other · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Molina molina dba connecticare medicare other · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | UnitedHealthcare united medicare other · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Aetna aetna medicare other · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | WellCare wellcare medicare other · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Anthem anthem individual fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Cigna cigna managed care fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Aetna aetna managed care - middlesex only fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Molina molina exchange/marketplace fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Aetna aetna managed care fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Aetna aetna signature administrators fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 12 | UnitedHealthcare united managed care fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 13 | Anthem anthem managed care fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 14 | Molina molina managed care fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
Last updated: Apr 1, 2026
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