HCPCS J9395
Injection, fulvestrant, 25 mg
Current codeChemotherapeutic Agent41 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $603 – $893 | — | — |
| Cascade Valley Hospital | $7.19 – $450 | $360 | $450 |
| Deaconess Medical Center | $551 – $584 | $4.02 – $11.07 | $10.03 – $27.67 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $2,085 – $4,171 | $6,829 – $13,658 |
| Island Hospital | $569 – $617 | — | — |
| Kadlec Regional Medical Center | — | $204 – $2,987 | $292 – $4,267 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $570 – $616 | — | — |
| MultiCare Auburn Medical Center | $560 – $605 | — | — |
| MultiCare Covington Medical Center | $560 – $605 | — | — |
| MultiCare Good Samaritan Hospital | $573 – $619 | — | — |
| MultiCare Valley Hospital | $547 – $580 | — | — |
| Olympic Medical Center | $705 – $772 | $2,539 | $3,174 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $221 – $386 | $340 – $594 |
| PeaceHealth Southwest Medical Cente | — | $221 – $386 | $340 – $594 |
| PeaceHealth St John Medical Center | — | $221 – $386 | $340 – $594 |
| PeaceHealth St Joseph Medical Center | — | $221 – $681 | $340 – $1,048 |
| PeaceHealth United General Medical Center | — | $221 – $386 | $340 – $594 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $419 – $769 | $598 – $1,099 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $419 – $769 | $598 – $1,099 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $299 – $2,419 | $427 – $3,456 |
| Providence St Peter Hospital | — | $212 | $408 |
| Skagit Valley Hospital | $556 – $736 | $360 | $450 |
| St Anthony Hospital | — | $2,077 – $4,154 | $6,829 – $13,658 |
| St Clare Hospital | — | $1,968 – $3,937 | $6,829 – $13,658 |
| St Elizabeth Hospital | $1,161 – $2,827 | $2,413 – $4,826 | $6,829 – $13,658 |
| St Francis Community Hospital | — | $2,143 – $4,286 | $6,829 – $13,658 |
| St Joseph Medical Center | — | $2,262 – $4,524 | $6,829 – $13,658 |
| St Michael Medical Center | — | $3,014 – $6,028 | $6,829 – $13,658 |
| Swedish Edmonds Hospital | — | $164 | $341 |
| Swedish Issaquah | — | $164 – $2,756 | $341 – $5,743 |
| Swedish Medical Center | — | $164 – $2,756 | $341 – $5,743 |
| Swedish Medical Center / Cherry Hill | — | $164 – $2,756 | $341 – $5,743 |
| Tacoma General Allenmore Hospital | $573 – $619 | $36.46 – $62.65 | $91.15 – $157 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $22.57 – $193 | $44.26 – $379 |
| Yakima Valley Memorial | $548 – $636 | $20.26 | $50.63 |
Medicare (traditional) reference
CMS publishes no national amount for this code.