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
Depo-estradiol cypionate inj|TECHNICAL COMPONENT
Low
$22
Average
$387
Median
$280
High
$1.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 27.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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39 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 3 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 4 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 6 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 9 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 10 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 12 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 13 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 14 | Lansdale Hospital Corp Lansdale, PA facility · fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 15 | Lansdale Hospital Corp Lansdale, PA facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 16 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 17 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 18 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 19 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $486 | $486 | — | — | — | $486 – $486 |
| 20 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 21 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 22 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $435 | $435 | — | — | — | $435 – $435 |
| 23 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 24 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $929 | $929 | — | — | — | $929 – $929 |
| 25 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Payers reporting HCPCS J1000 · Snapshot 20261111T120946Z-9134e7f7