HCPCS J9395
Injection, fulvestrant, 25 mg
Current codeChemotherapeutic Agent41 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 | — | — | — |
| Cascade Valley Hospital | $6.99 – $11,115 | $360 | $450 |
| Deaconess Medical Center | — | $4.02 – $11.07 | $10.03 – $27.67 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | $7.77 – $8.94 | $2,085 – $4,171 | $6,829 – $13,658 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $204 – $2,987 | $292 – $4,267 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | $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 | $6.66 – $7.19 | $360 | $450 |
| St Anthony Hospital | $7.91 – $9.10 | $2,077 – $4,154 | $6,829 – $13,658 |
| St Clare Hospital | $7.82 – $8.99 | $1,968 – $3,937 | $6,829 – $13,658 |
| St Elizabeth Hospital | $1,229 – $3,005 | $2,413 – $4,826 | $6,829 – $13,658 |
| St Francis Community Hospital | $7.77 – $8.94 | $2,143 – $4,286 | $6,829 – $13,658 |
| St Joseph Medical Center | $7.91 – $15.87 | $2,262 – $4,524 | $6,829 – $13,658 |
| St Michael Medical Center | $8.13 – $9.32 | $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 | — | $36.46 – $62.65 | $91.15 – $157 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | $4.71 – $7.07 | $22.57 – $193 | $44.26 – $379 |
| Yakima Valley Memorial | — | $20.26 | $50.63 |
Medicare (traditional) reference
CMS publishes no national amount for this code.