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-ELIGARD PREP CHRG
Teaneck, NJ
See all hospitals reporting HCPCS J9217 →Price type
Holy Name’s median price of $183 is 59% below the median hospital's median price ($448), higher than 14% of the 2,078 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: 9 payers, 26 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 | Aetna hmo/pos facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | $0 | 164% | — | $0 – $1 |
| 3 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | $0 | 170% | — | $0 – $1 |
| 4 | Aetna medicare prime facility · fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 5 | Aetna golden medicare facility · fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 6 | Clover clover facility · fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 8 | WellCare medicare facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 9 | Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges | $680 | $680 | $679 | 100% | — | $1 – $1.4k |
| 10 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $418 | $684 | $791 | 116% | — | $0 – $1.9k |
| 11 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $434 | $710 | $820 | 116% | — | $0 – $2.0k |
| 12 | Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges | $827 | $827 | $826 | 100% | — | $1 – $1.7k |
| 13 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $559 | $914 | $1.1k | 116% | — | $0 – $2.5k |
| 14 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $607 | $993 | $1.1k | 116% | — | $0 – $2.7k |
| 15 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $624 | $1.0k | $1.2k | 116% | — | $0 – $2.8k |
| 16 | Cigna hmo/pos facility · percent of total billed charges · inpatientfrom % of charges | $694 | $1.1k | $1.3k | 116% | — | $0 – $3.1k |
| 17 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1.1k | $1.8k | $2.1k | 116% | — | $0 – $5.1k |
| 18 | Aetna better health mcd/chip facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.9k | $1.2k | 63% | — | $694 – $3.1k |
| 19 | UnitedHealthcare medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.9k | $1.2k | 63% | — | $694 – $3.1k |
| 20 | UnitedHealthcare uhc facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.9k | $1.2k | 63% | — | $694 – $3.1k |
| 21 | MultiPlan worker's comp facility · percent of total billed charges · bothfrom % of charges | $1.5k | $2.4k | $2.8k | 116% | — | $0 – $6.7k |
| 22 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $2.6k | $2.0k | 80% | — | $3 – $4.9k |
| 23 | MultiPlan auto accident medical facility · percent of total billed charges · bothfrom % of charges | $1.6k | $2.6k | $3.0k | 116% | — | $0 – $7.1k |
| 24 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $2.6k | $3.0k | 116% | — | $0 – $7.3k |
| 25 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $2.6k | $3.0k | 116% | — | $0 – $7.3k |
Last updated: Nov 10, 2025
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