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HCPCS J9217

LEUPROLIDE ACETATE (3 MONTH) FOR SUBCUTANEOUS INJ KIT 22.5MG - as described in hospitals' own price files.

33hospitals publishing a price
$1,792median cash price
$3,071median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Covenant Hospital LevellandLevelland, TX$210-$500-
Covenant Hospital PlainviewPlainview, TX$210-$500-
Providence Centralia HospitalCentralia, WA$344-$662-
Gadsden Regional Medical CenterGadsden, AL$154$537$1,287$154 - $1,525
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$621-$1,775-
Providence Regional Medical Center EverettEverett, WA$762-$1,466-
Providence St. Peter HospitalOlympia, WA$1,033-$1,987-
Grandview Medical CenterBirmingham, AL$1,309$1,214$8,729$177 - $7,856
Providence St. Mary Medical CenterWalla Walla, WA$1,321-$1,887-
Providence Holy Family HospitalSpokane, WA$1,350-$1,929-
Providence Mount Carmel HospitalColville, WA$1,425-$2,036-
Providence St. Joseph Medical CenterPolson, MT$1,500-$1,875-
Swedish Edmonds HospitalEdmonds, WA$1,510-$3,146-
Swedish Medical Center / Cherry HillSeattle, WA$1,510-$3,146-
Swedish IssaquahIssaquah, WA$1,510-$3,146-
Kadlec Regional Medical CenterRichland, WA$1,637-$2,338-
Saint John'S Health CenterSanta Monica, CA$1,792-$5,119-
Providence Holy Cross Medical CenterMission Hills, CA$1,792-$5,119-
Providence Saint Joseph Medical CtrBurbank, CA$1,792-$5,119-
Providence Queen Of The Valley Medical CenterNapa, CA$1,815-$3,559-
Providence Portland Medical CenterPortland, OR$2,118-$2,824-
Covenant Medical CenterLubbock, TX$2,257-$5,373-
Providence Kodiak Island Medical CtrKodiak, AK$2,659-$3,409-
Providence Alaska Medical CenterAnchorage, AK$2,659-$3,409-
Providence Hood River Memorial HospitalHood River, OR$2,802-$3,736-
Providence Newberg Medical CenterNewberg, OR$2,802-$3,736-
Providence Medford Medical CenterMedford, OR$2,802-$3,736-
Providence St. Vincent Medical CenterPortland, OR$2,802-$3,736-
Providence Willamette Falls Medical CenterOregon City, OR$2,802-$3,736-
Providence Seaside HospitalSeaside, OR$3,460-$4,614-
Crestwood Medical CenterHuntsville, AL$2,217$4,927$12,319$171 - $10,471
Providence Valdez Medical CenterValdez, AK$5,319-$6,819-
Flowers HospitalDothan, AL$3,933$13,111$26,221$177 - $23,599

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.

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