NDC 00074-9694-03
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
LUPRON DEPOT-PED (3 MONTH) 30 MG IM SYKT
Reported by 18 hospitals in the network under the other methodology.
Based on 74–263 billing samples across every hospital reporting.
Low
$379
Average
$6.7k
Median
$2.1k
High
$33.6k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 18 hospitals; the 90th percentile is 13.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services | Minneapolis, MN | $11.0k | $10.1k | $3.7k | 67–193 | $724 | $14.8k |
| 2 | Fairview Health Services | Burnsville, MN | $11.7k | $11.7k | $3.0k | 4–40 | $2.6k | $14.8k |
| 3 | HealthEast St John's Hospital | Maplewood, MN | $1.1k | $1.1k | — | 2–20 | $724 | $5.9k |
| 4 | Childrens Hospital Colorado | Aurora, CO | $33.6k | $33.6k | — | 1–10 | $6.2k | $57.4k |
| 5 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $379 | $379 | — | — | $379 | $3.4k |
| 6 | West Virginia University Hospitals, Inc. | Morgantown, WV | $1.9k | $2.2k | $689 | — | $1.2k | $4.9k |
| 7 | Ochsner Clinic Foundation | Orleans, LA | $10.4k | $21.8k | $16.8k | — | $1.6k | $60.2k |
| 8 | University Health Shreveport, Llc | Shreveport, LA | $18.0k | $19.0k | $11.0k | — | $1.7k | $33.4k |
| 9 | The University of Texas Medical Branch | Galveston, TX | $1.8k | $2.1k | $476 | — | $1.6k | $38.2k |
| 10 | Methodist Lebonheur Childrens Hosp | MEMPHIS, TN | $1.7k | $1.7k | $132 | — | $1.1k | $1.8k |
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