HCPCS J9393
Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg
Current codeChemotherapeutic Agent28 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $40.84 – $44.92 | — | — |
| Deaconess Medical Center | $40.84 – $44.92 | — | — |
| Harborview Medical Center | $41.67 – $45.84 | — | — |
| Island Hospital | $48.68 – $51.60 | — | — |
| Kadlec Regional Medical Center | $41.67 – $50.00 | — | — |
| Legacy Salmon Creek Medical Center | $42.92 – $46.67 | — | — |
| Mary Bridge Children's Hospital | $40.84 – $44.92 | — | — |
| MultiCare Auburn Medical Center | $40.84 – $44.92 | — | — |
| MultiCare Covington Medical Center | $40.84 – $44.92 | — | — |
| MultiCare Good Samaritan Hospital | $40.84 – $44.92 | — | — |
| MultiCare Valley Hospital | $42.06 – $44.92 | — | — |
| Olympic Medical Center | $51.11 – $65.72 | — | — |
| Overlake Hospital Medical Center & Clinics | $41.67 – $43.34 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $41.67 – $50.00 | — | — |
| Providence Centralia Hospital | $41.67 – $66.67 | — | — |
| Providence Holy Family Hospital | $41.67 – $45.84 | — | — |
| Providence Regional Medical Center Everett | $41.67 – $45.84 | — | — |
| Providence St Mary Medical Center | $41.67 – $45.84 | — | — |
| Providence St Peter Hospital | $41.67 – $66.67 | — | — |
| Swedish Edmonds Hospital | $41.67 – $50.00 | — | — |
| Swedish Issaquah | $41.67 – $50.00 | — | — |
| Swedish Medical Center | $41.67 – $50.00 | — | — |
| Swedish Medical Center / Cherry Hill | $41.67 – $50.00 | — | — |
| Tacoma General Allenmore Hospital | $40.84 – $44.92 | — | — |
| University of Washington Medical Ctr | $41.67 – $45.84 | — | — |
| Virginia Mason Medical Center | $32.35 – $48.52 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $40.84 – $45.74 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $41.67 (APC 9102)
- Surgery center payment (national)
- $41.67