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
Histrelin acetate
Low
$1
Average
$2.7k
Median
$95
High
$51.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 2763.4× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 360 | $2 | $11 | $121 | 1148% | — | $1 – $1.7k |
| 2 | Cigna fee schedule · outpatient · +5 other terms | 189 | $2 | $3 | $2 | 79% | — | $1 – $19 |
| 3 | Aetna fee schedule · outpatient · +7 other terms | 51 | $1 | $80 | $354 | 442% | — | $1 – $1.7k |
| 4 | Kaiser fee schedule · both · +1 other terms | 41 | $2 | $1 | $0 | 27% | — | $1 – $2 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 36 | $7 | $4.3k | $8.5k | 196% | — | $0 – $61.8k |
| 6 | Molina facility · case rate · outpatient · +5 other terms | 29 | $1.8k | $1.9k | $1.0k | 54% | — | $786 – $4.4k |
| 7 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $2.6k | $2.8k | $668 | 23% | — | $1.8k – $4.4k |
| 8 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $2.7k | $2.8k | $653 | 23% | — | $1.8k – $4.5k |
| 9 | Optum facility · case rate · outpatient · +2 other terms | 13 | $2.4k | $2.4k | $896 | 37% | — | $747 – $4.0k |
| 10 | Highmark fee schedule · outpatient · +3 other terms | 12 | $6 | $83 | $515 | 621% | — | $6 – $4.8k |
| 11 | Humana fee schedule · outpatient · +4 other terms | 11 | $1 | $589 | $832 | 141% | — | $1 – $1.8k |
| 12 | Medica fee schedule · outpatient · +4 other terms | 10 | $2 | $2 | $1 | 25% | — | $1 – $3 |
| 13 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $865 | $876 | $28 | 3% | — | $865 – $943 |
| 15 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | First Health professional · fee schedule · both | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Wellmark facility · case rate · outpatient | 3 | $3.0k | $2.6k | $831 | 32% | — | $1.2k – $3.3k |
| 18 | Medicaid facility · case rate · outpatient | 2 | $786 | $786 | — | — | — | $786 – $786 |
| 19 | Bcbs Id facility · fee schedule · outpatient | 1 | $2 | $2 | $0 | 4% | — | $2 – $2 |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Healthpartners facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 23 | MultiPlan fee schedule · both · +1 other terms | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 24 | Phcs professional · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 25 | Regence professional · case rate · outpatient · +1 other terms | 1 | $51.2k | $51.2k | — | — | — | $51.2k – $51.2k |
← Hospitals reporting HCPCS J1675 · Snapshot 20261113T090226Z-3ce6c0b8