APC 09122
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Triptorelin pamoate
Low
$463
Average
$1.1k
Median
$695
High
$3.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 5.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 86 | $449 | $535 | $185 | 35% | — | $347 – $963 |
| 2 | Caresource fee schedule · outpatient | 20 | $463 | $607 | $219 | 36% | — | $463 – $954 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $463 | $654 | $228 | 35% | — | $463 – $926 |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 7 | $472 | $1.3k | $1.1k | 81% | — | $468 – $3.5k |
| 5 | Aetna fee schedule · outpatient · +1 other terms | 5 | $709 | $706 | $235 | 33% | — | $468 – $945 |
| 6 | Clover fee schedule · outpatient | 5 | $695 | $695 | $232 | 33% | — | $463 – $926 |
| 7 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $716 | $716 | $239 | 33% | — | $477 – $954 |
| 8 | Medicare fee schedule · outpatient · +1 other terms | 5 | $695 | $695 | $232 | 33% | — | $463 – $926 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $716 | $716 | $239 | 33% | — | $477 – $954 |
| 10 | Ambetter facility · fee schedule · outpatient | 3 | $3.9k | $3.2k | $1.7k | 54% | — | $657 – $5.2k |
| 11 | Carefirst facility · fee schedule · outpatient | 3 | $463 | $463 | — | — | — | $463 – $463 |
| 12 | Tricare facility · fee schedule · outpatient | 3 | $463 | $463 | — | — | — | $463 – $463 |
| 13 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $3.3k | $3.3k | $1.7k | 51% | — | $1.4k – $6.0k |
| 14 | Cigna facility · fee schedule · outpatient | 2 | $2.1k | $2.1k | $700 | 33% | — | $1.4k – $2.8k |
| 15 | Devoted facility · fee schedule · outpatient | 1 | $493 | $493 | — | — | — | $493 – $493 |
| 16 | Oscar facility · fee schedule · outpatient | 1 | $704 | $704 | — | — | — | $704 – $704 |
← Hospitals reporting APC 09122 · Snapshot 20261111T120946Z-9134e7f7