HCPCS J9155

DEGARELIX ACETATE FOR INJ 120 MG/VIAL (240 MG DOSE) - as described in hospitals' own price files.

23hospitals publishing a price

$1,650median cash price

$11.52median typical insurance price

Hospital	Location	Cash price	Typical insurance	List price	Negotiated range
Mat-Su Regional Medical Center	Palmer, AK	$3.60	$9.12	$12.00	$1.29 - $12.00
Providence Seaside Hospital	Seaside, OR	$9.75	-	$13.00	-
Grandview Medical Center	Birmingham, AL	$3.30	$10.45	$22.00	$3.30 - $334
Gadsden Regional Medical Center	Gadsden, AL	$3.24	$12.60	$27.00	$3.24 - $1,525
Flowers Hospital	Dothan, AL	$18.67	$75.15	$124	$4.18 - $274
Providence St. Jude Medical Center	Fullerton, CA	$729	-	$1,518	-
Providence Regional Medical Center Everett	Everett, WA	$1,158	-	$2,227	-
Providence Holy Family Hospital	Spokane, WA	$1,241	-	$1,773	-
Swedish Edmonds Hospital	Edmonds, WA	$1,388	-	$2,892	-
Swedish Medical Center / Cherry Hill	Seattle, WA	$1,388	-	$2,892	-
Swedish Issaquah	Issaquah, WA	$1,388	-	$2,892	-
Saint John'S Health Center	Santa Monica, CA	$1,650	-	$4,714	-
Providence Saint Joseph Medical Ctr	Burbank, CA	$1,650	-	$4,714	-
Providence Queen Of The Valley Medical Center	Napa, CA	$1,675	-	$3,284	-
Providence Santa Rosa Memorial Hospital	Santa Rosa, CA	$1,675	-	$3,284	-
Providence St. Joseph Medical Center	Polson, MT	$2,151	-	$2,689	-
St. Patrick Hospital	Missoula, MT	$2,151	-	$2,689	-
Providence St. Vincent Medical Center	Portland, OR	$2,224	-	$2,965	-
Providence Kodiak Island Medical Ctr	Kodiak, AK	$2,444	-	$3,134	-
Providence Alaska Medical Center	Anchorage, AK	$2,465	-	$3,160	-
Providence Hood River Memorial Hospital	Hood River, OR	$2,575	-	$3,434	-
Providence St. Mary Medical Center	Walla Walla, WA	$3,672	-	$5,246	-
Providence Medford Medical Center	Medford, OR	$3,746	-	$4,994	-

Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.