What does code J9316 cost?

Across the published hospital price files, the disclosed cash price for J9316 ranges from $147 to $31,390. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

J9316 is the billing code hospitals use to identify "Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

J9316

HCPCS

Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code J9316 (Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose) appears at 7 hospitals with disclosed cash prices from $147 to $31,390. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J9316 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code J9316 vary by about 214× across the 6 hospitals with disclosed prices here — from $147 to $31,390. Shopping around can matter.

Hospitals

Prices shown

$147

Lowest cash

$31,390

Highest cash

code J9316 cash price10 disclosed · 6 hospitals

$147median ~$414$31,390

Lowest cash price by hospital

Advocate Illinois Masonic Medical Center$147
Advocate South Suburban Hospital$147
Endeavor Health Edward Hospital$414
Froedtert Hospital$20,929
Froedtert West Bend Hospital$20,929
Froedtert Menomonee Falls Hospital$31,390

Cash price by city

Reflects your current filters.

Cash price by city$147 – $31,390

Chicago · 1 hospital$147–$187
Hazel Crest · 1 hospital$147–$187
Naperville · 1 hospital$414–$414
Milwaukee · 1 hospital$20,929
West Bend · 1 hospital$20,929–$31,390
Menomonee Falls · 1 hospital$31,390

14 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose Inpatient & outpatient	Endeavor Health Edward Hospital	J9316 HCPCS	$414	$414	—	—
Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	Endeavor Health Edward Hospital	J9316 HCPCS	$414	$414	—	—
Pertuzu, trastuzu, 10 mg Outpatient	Endeavor Health Edward Hospital	J9316 HCPCS	—	—	$60.22 – $170	—
Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	J9316 HCPCS	—	—	—	—
Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	J9316 HCPCS	—	—	—	—
Pertuzu, trastuzu, 10 mg Outpatient	University of Chicago Medical Center	J9316 HCPCS	—	—	—	—
PHESGO 60-60-2000 MG-MG-U-ML SC SOLN Outpatient	Advocate Illinois Masonic Medical Center	J9316 HCPCS	$375	$187	$91.91 – $316	—
PHESGO 80-40-2000 MG-MG-U-ML SC SOLN Outpatient	Advocate Illinois Masonic Medical Center	J9316 HCPCS	$294	$147	$91.91 – $248	—
PHESGO 60-60-2000 MG-MG-U-ML SC SOLN Outpatient	Advocate South Suburban Hospital	J9316 HCPCS	$374	$187	$91.91 – $365	—
PHESGO 80-40-2000 MG-MG-U-ML SC SOLN Outpatient	Advocate South Suburban Hospital	J9316 HCPCS	$294	$147	$91.91 – $286	—
pertuzumab/trastuzumab/hyaluronidase-zzxf 60-60-2000 MG-MG-U/ML Solution 10 mL Vial Outpatient	Froedtert Hospital	J9316 HCPCS	$38,052	$20,929	$54.85 – $32,915	—
pertuzumab/trastuzumab/hyaluronidase-zzxf 80-40-2000 MG-MG-U/ML Solution 15 mL Vial Outpatient	Froedtert Menomonee Falls Hospital	J9316 HCPCS	$57,073	$31,390	$60.94 – $51,366	—
pertuzumab/trastuzumab/hyaluronidase-zzxf 60-60-2000 MG-MG-U/ML Solution 10 mL Vial Inpatient	Froedtert West Bend Hospital	J9316 HCPCS	$38,052	$20,929	$19,026 – $36,149	—
pertuzumab/trastuzumab/hyaluronidase-zzxf 80-40-2000 MG-MG-U/ML Solution 15 mL Vial Inpatient	Froedtert West Bend Hospital	J9316 HCPCS	$57,073	$31,390	$28,536 – $54,219	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J9316 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Advocate South Suburban Hospital Froedtert Hospital Froedtert Menomonee Falls Hospital Froedtert West Bend Hospital

Code J9316: frequently asked

What does code J9316 cost?: Across the published hospital price files, the disclosed cash price for J9316 ranges from $147 to $31,390. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J9316?: J9316 is the billing code hospitals use to identify "Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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Hospitals publishing code J9316 by state

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