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
TRIPTORELIN PAMOATE 3.75 MG INTRAMUSC SUSR [10074]
Arlington, TX
See all hospitals reporting HCPCS J3315 →Price type
AMH Cath Labs LLC’s median price of $1.3k is 122% above the median hospital's median price ($603), higher than 82% of the 1,376 hospitals reporting HCPCS J3315. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 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 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $273 | $273 | — | — | — | $273 – $273 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $279 | $279 | — | — | — | $279 – $279 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 7 | Humana medicare advantage case rate · outpatient | $494 | $494 | — | — | — | $494 – $494 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $494 | $494 | — | — | — | $494 – $494 |
| 9 | Molina medicare advantage case rate · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $527 | $527 | — | — | — | $527 – $527 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $537 | $537 | — | — | — | $537 – $537 |
| 14 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $984 | $984 | — | — | — | $984 – $984 |
| 15 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Blue Cross Blue Shield exchange fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | UnitedHealthcare all payer fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | UnitedHealthcare ppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Apr 21, 2026
See Triptorelin pamoate injection, 3.75 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.