APC 9217

Leuprolide acetate injectable suspension

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Leuprolide acetate suspnsion

Payers reporting APC 9217

Payer pricing summary

Low

$92

Average

$723

Median

$190

High

$10.5k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$241	$246	$90	37%	1,449–1,458	$176 – $396
2	Highmark case rate · outpatient · +2 other terms	5	$176	$239	$85	35%	21–48	$176 – $387
3	UnitedHealthcare fee schedule · outpatient · +7 other terms	174	$172	$173	$5	3%	—	$160 – $190
4	Humana fee schedule · outpatient · +6 other terms	161	$171	$176	$49	28%	—	$154 – $683
5	Aetna fee schedule · outpatient · +6 other terms	155	$172	$177	$25	14%	—	$159 – $316
6	WellCare fee schedule · outpatient · +2 other terms	131	$176	$177	$7	4%	—	$164 – $225
7	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$174	$174	$9	5%	—	$160 – $271
8	Devoted fee schedule · outpatient · +2 other terms	122	$171	$171	$4	2%	—	$160 – $179
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$176	$172	$8	5%	—	$160 – $189
10	Molina fee schedule · outpatient · +5 other terms	69	$251	$246	$95	39%	—	$174 – $447
11	Superior Healthplan fee schedule · outpatient	40	$179	$180	$3	2%	—	$168 – $185
12	Anthem fee schedule · outpatient · +2 other terms	31	$174	$174	$5	3%	—	$160 – $184
13	Oscar fee schedule · outpatient · +3 other terms	27	$173	$190	$45	24%	—	$167 – $316
14	Medicare facility · fee schedule · outpatient · +2 other terms	23	$171	$189	$102	54%	—	$160 – $962
15	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$205	$201	$8	4%	—	$183 – $205
16	Cigna fee schedule · outpatient · +5 other terms	16	$181	$183	$12	6%	—	$174 – $224
17	Clover fee schedule · outpatient · +3 other terms	15	$185	$182	$4	2%	—	$168 – $185
18	Kaiser fee schedule · outpatient · +2 other terms	15	$174	$175	$4	2%	—	$171 – $184
19	Ambetter case rate · outpatient · +3 other terms	12	$318	$354	$43	12%	—	$318 – $405
20	Optum fee schedule · outpatient · +3 other terms	8	$172	$256	$122	48%	—	$160 – $441
21	Medica facility · fee schedule · outpatient	5	$178	$178	$1	0%	—	$178 – $179
22	Tricare facility · fee schedule · outpatient	5	$176	$176	—	—	—	$176 – $176
23	Bcbs Nj facility · other · outpatient	3	$171	$171	—	—	—	$171 – $171
24	Magellan facility · fee schedule · outpatient · +1 other terms	3	$179	$179	—	—	—	$179 – $179
25	Sanford Health Plan case rate · outpatient	3	$225	$227	$23	10%	—	$188 – $259

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