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
Lititz, PA
See all hospitals reporting HCPCS J9395 →Price type
UPMC Lititz’s median price of $13 is 56% below the median hospital's median price ($31), higher than 33% of the 1,857 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: 7 payers, 20 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Highmark medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Cigna medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $7 | $12 | $10 | 89% | — | $3 – $39 |
| 7 | Cigna commercial facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $14 | $14 | $7 | 50% | — | $7 – $21 |
| 9 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Highmark commercial facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $14 | $22 | $19 | 88% | — | $6 – $72 |
| 12 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $15 | $23 | $20 | 88% | — | $6 – $76 |
| 13 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $16 | $26 | $23 | 89% | — | $7 – $86 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $17 | $27 | $24 | 89% | — | $7 – $90 |
| 15 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $17 | $27 | $24 | 89% | — | $7 – $91 |
| 16 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $17 | $27 | $24 | 89% | — | $7 – $91 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $23 | $35 | $31 | 89% | — | $9 – $119 |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $31 | $49 | $43 | 89% | — | $13 – $164 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $31 | $49 | $43 | 89% | — | $13 – $164 |
| 20 | UnitedHealthcare commercial facility · fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
Last updated: Mar 6, 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.