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
MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP
Low
$0
Average
$1.9k
Median
$87
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
100 hospitals; the 90th percentile is 389.2× 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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105 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $215 | $215 | — | — | 1–10 | $215 – $215 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $446 | $446 | — | — | — | $446 – $446 |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 4 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $140 | $170 | $52 | 30% | — | $140 – $260 |
| 5 | Aspirus Iron River Hospital Iron River, MI fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 6 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 7 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 8 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 9 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 10 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $203 | $491 | 242% | — | $20 – $2.3k |
| 11 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $197 | $477 | 242% | — | $20 – $2.2k |
| 12 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $197 | $477 | 242% | — | $20 – $2.2k |
| 13 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $249 | $604 | 242% | — | $25 – $2.8k |
| 14 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 16 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $66 | $44 | $31 | 69% | — | $1 – $66 |
| 17 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 18 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 19 | Central Community Hospital Elkader, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 20 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | $25 | 89% | — | $3 – $53 |
| 21 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $83 | $83 | — | — | — | $83 – $83 |
| 22 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $75 | $75 | $19 | 26% | — | $55 – $94 |
| 23 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $411 | $411 | $10 | 2% | — | $401 – $421 |
| 24 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | $7 | 9% | — | $67 – $81 |
| 25 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
← Payers reporting HCPCS J1050 · Snapshot 20261111T120946Z-9134e7f7