NDC 66993-0370-25
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
MEDROXYPROGESTERONE 150 MG/ML IM SUSP (UIR)
Reported by 10 hospitals in the network under the other methodology.
Based on 4–40 billing samples across every hospital reporting.
Low
$56
Average
$183
Median
$189
High
$307
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. 10 hospitals; the 90th percentile is 2.3× 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 | Samaritan Medical Center | Watertown, NY | $161 | $158 | $5 | 3–30 | $105 | $161 |
| 2 | Childrens Hospital Colorado | Aurora, CO | $157 | $157 | — | 1–10 | $52 | $481 |
| 3 | Brfhh Monroe, Llc | Monroe, LA | $47 | $112 | $75 | — | $47 | $220 |
| 4 | St Martin Hospital Inc | Breaux Bridge, LA | $219 | $307 | $151 | — | $219 | $907 |
| 5 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $235 | $184 | $119 | — | $0 | $294 |
| 6 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $294 | $236 | $92 | — | $0 | $294 |
| 7 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center | Philadelphia, PA | $294 | $233 | $93 | — | $0 | $294 |
| 8 | The Chester County Hospital | West Chester, PA | $257 | $197 | $110 | — | $0 | $294 |
| 9 | Penn Medicine Princeton Medical Center | Plainsboro, NJ | $294 | $193 | $112 | — | $0 | $294 |
| 10 | Parrish Medical Center | TITUSVILLE, FL | $61 | $56 | $39 | — | $9 | $392 |
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