Triptorelin pamoate injection, 3.75 mg

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

INJECTION, TRIPTORELIN PAMOATE, 3.75 MG

Payers reporting HCPCS J3315

Payer pricing summary

Low

$242

Average

$2.4k

Median

$1.8k

High

$11.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	619	$697	$840	$729	87%	—	$0 – $11.3k
2	Aetna fee schedule · outpatient · +20 other terms	406	$560	$958	$845	88%	—	$79 – $9.5k
3	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	367	$733	$1.2k	$975	79%	—	$0 – $7.2k
4	Cigna fee schedule · outpatient · +19 other terms	366	$693	$1.3k	$1.6k	119%	—	$1 – $20.0k
5	Humana fee schedule · outpatient · +20 other terms	363	$475	$651	$517	79%	—	$0 – $4.1k
6	Anthem fee schedule · outpatient · +19 other terms	136	$675	$811	$728	90%	—	$361 – $9.4k
7	Molina fee schedule · outpatient · +18 other terms	136	$632	$652	$238	36%	—	$198 – $1.2k
8	WellCare fee schedule · outpatient · +12 other terms	134	$483	$554	$178	32%	—	$402 – $1.1k
9	Caresource fee schedule · outpatient · +14 other terms	82	$604	$766	$207	27%	—	$469 – $959
10	Kaiser fee schedule · outpatient · +15 other terms	72	$704	$2.0k	$3.3k	171%	—	$371 – $17.7k
11	Devoted fee schedule · outpatient · +7 other terms	66	$480	$478	$28	6%	—	$432 – $533
12	Ambetter fee schedule · outpatient · +12 other terms	57	$855	$868	$274	32%	—	$440 – $2.0k
13	MultiPlan fee schedule · outpatient · +14 other terms	43	$701	$4.3k	$5.7k	132%	—	$449 – $24.2k
14	Medicare fee schedule · outpatient · +6 other terms	35	$465	$485	$82	17%	—	$364 – $926
15	Optum fee schedule · outpatient · +11 other terms	34	$465	$613	$264	43%	—	$422 – $1.3k
16	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$2.3k	$2.2k	$1.0k	46%	—	$452 – $4.2k
17	Highmark facility · fee schedule · outpatient · +10 other terms	31	$809	$873	$541	62%	—	$459 – $4.2k
18	Medica fee schedule · outpatient · +13 other terms	30	$778	$1.2k	$812	67%	—	$239 – $2.9k
19	Clover fee schedule · outpatient · +6 other terms	29	$530	$563	$167	30%	—	$450 – $926
20	Oscar facility · fee schedule · outpatient · +12 other terms	26	$618	$676	$121	18%	—	$463 – $878
21	Aetna Better Health fee schedule · outpatient · +10 other terms	22	$475	$464	$24	5%	—	$429 – $486
22	Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms	22	$475	$965	$1.1k	113%	—	$454 – $6.0k
23	Medical Mutual facility · fee schedule · outpatient · +5 other terms	21	$841	$1.0k	$492	48%	—	$256 – $2.1k
24	Regence facility · fee schedule · outpatient · +8 other terms	21	$482	$531	$134	25%	—	$404 – $909
25	Healthpartners fee schedule · outpatient · +5 other terms	19	$575	$572	$20	4%	—	$479 – $587

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