Fulvestrant injection, 25 mg at UPMC Presbyterian

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FULVESTRANT 25MG/0.5ML SYR

Pittsburgh, PA

See all hospitals reporting HCPCS J9395 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Presbyterian’s median price of $998 is 3070% above the median hospital's median price ($32), higher than 88% of the 1,878 hospitals reporting HCPCS J9395. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9395 at UPMC Presbyterian

Negotiated rates from the hospital’s own file: 8 payers, 22 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	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
2	Highmark medicaid facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
3	Aetna chip/medicaid facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
4	Amerihealth Caritas medicare facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
5	Cigna medicare transplant facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
6	Highmark medicare facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
7	UnitedHealthcare medicare facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
8	Aetna medicare facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
9	Highmark medicare advantage facility · fee schedule · outpatient	$168	$168	—	—	—	$168 – $168
10	Highmark managed care - social mission facility · fee schedule · outpatient	$339	$339	—	—	—	$339 – $339
11	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$349	$349	—	—	—	$349 – $349
12	Highmark managed care facility · fee schedule · outpatient	$454	$454	—	—	—	$454 – $454
13	Highmark commercial - indemnity facility · fee schedule · outpatient	$467	$467	—	—	—	$467 – $467
14	Highmark upmc emergent facility · fee schedule · outpatient	$908	$908	—	—	—	$908 – $908
15	MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$584	$2.3k	$2.5k	106%	—	$584 – $5.8k
16	MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$621	$2.5k	$2.6k	106%	—	$621 – $6.2k
17	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.1k	$4.3k	$4.6k	106%	—	$1.1k – $10.8k
18	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$4.3k	$4.6k	106%	—	$1.1k – $10.8k
19	MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$4.9k	$5.2k	106%	—	$1.2k – $12.3k
20	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$4.9k	$5.2k	106%	—	$1.2k – $12.3k
21	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.3k	$5.2k	$5.5k	106%	—	$1.3k – $13.1k
22	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$5.2k	$5.5k	106%	—	$1.3k – $13.1k

Last updated: Mar 6, 2026

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