NDC 62935-0306-40
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
LEUPROLIDE ACETATE (4 MONTH) 30 MG KIT 1 EACH BOX
Reported by 89 hospitals in the network under the fee schedule methodology.
Low
$137
Average
$601
Median
$299
High
$10.2k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 89 hospitals; the 90th percentile is 6.0× 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 | ||||||
|---|---|---|---|---|---|---|---|
| 1 | State Of Mississippi-university Of Mississippi Medical Center GRENADA, MS | $190 | $1.1k | $2.4k | 217% | 2–20 | $169 – $10.0k |
| 2 | University of Iowa Health Care Medical Center Iowa City, IA | $184 | $272 | $127 | 47% | 1–10 | $170 – $5.9k |
| 3 | University of Iowa Health Care Medical Center Downtown Iowa City, IA | $182 | $277 | $129 | 47% | — | $170 – $5.9k |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA | $189 | $214 | $51 | 24% | — | $159 – $612 |
| 5 | Mid Columbia Medical Center Dalles, OR | $10.2k | $10.2k | $633 | 6% | — | $176 – $28.8k |
| 6 | Mishawaka Medical Center Mishawaka, IN | $1.4k | $1.4k | $213 | 15% | — | $95 – $2.5k |
| 7 | UPMC Lititz Lititz, PA | $191 | $331 | $278 | 84% | — | $175 – $1.5k |
| 8 | UPMC Memorial York, PA | $209 | $321 | $267 | 83% | — | $176 – $1.5k |
| 9 | UPMC Hanover Hanover, PA | $187 | $302 | $270 | 89% | — | $175 – $1.6k |
| 10 | UPMC Carlisle Carlisle, PA | $187 | $298 | $254 | 85% | — | $175 – $1.5k |
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