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 (3-MONTH) 22.5 MG IM KIT
Chicago, IL
See all hospitals reporting HCPCS J9217 →Price type
Advocate Trinity Hospital’s median price of $565 is 25% above the median hospital's median price ($453), higher than 56% of the 2,100 hospitals reporting HCPCS J9217. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 2 | Molina medicare advantage case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 3 | Oscar medicare advantage case rate · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 4 | Cigna commercial fee schedule · outpatient | $353 | $353 | — | — | — | $353 – $353 |
| 5 | UnitedHealthcare commercial fee schedule · outpatient | $298 | $402 | $147 | 37% | — | $298 – $610 |
| 6 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $529 | $529 | $48 | 9% | — | $482 – $577 |
| 7 | UnitedHealthcare hmo fee schedule · outpatient | $610 | $610 | — | — | — | $610 – $610 |
| 8 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $692 | $692 | $62 | 9% | — | $629 – $754 |
| 9 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $704 | $704 | $64 | 9% | — | $641 – $768 |
| 10 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $785 | $785 | $71 | 9% | — | $714 – $856 |
| 11 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $785 | $785 | $71 | 9% | — | $714 – $856 |
| 12 | Blue Cross Blue Shield commercial fee schedule · outpatient | $1.1k | $1.1k | $44 | 4% | — | $1.1k – $1.2k |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Nov 4, 2025
See Leuprolide acetate injection, 7.5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.