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
Urofollitropin, 75 iu
Low
$375
Average
$375
Median
$375
High
$375
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4 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 3 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 4 | Pike Health Services Inc Waverly, OH facility · fee schedule · outpatient | 1 | $375 | $375 | — | — | — | $375 – $375 |
← Payers reporting HCPCS J3355 · Snapshot 20261112T181611Z-3fa9fb76