APC 09122

Triptorelin pamoate injection at Northside Hospital, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TRELSTAR 22.5MG/2ML (6 MONTH)

Duluth, GA

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How this price compares nationally

Northside Hospital, Inc.’s median price of $741 is 62% above the median hospital's median price ($456), higher than 94% of the 140 hospitals reporting APC 09122. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 09122 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 9 payers, 10 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 bcbs medicare advantage-p fee schedule · outpatient	$695	$695	$232	33%	—	$463 – $926
2	Clover clover health fee schedule · outpatient	$695	$695	$232	33%	—	$463 – $926
3	Medicare medicare fee schedule · outpatient	$695	$695	$232	33%	—	$463 – $926
4	UnitedHealthcare uhc medicare fee schedule · outpatient	$695	$695	$232	33%	—	$463 – $926
5	Aetna aetna medicare fee schedule · outpatient	$702	$702	$234	33%	—	$468 – $936
6	Humana humana medicare advantage hmo fee schedule · outpatient	$702	$702	$234	33%	—	$468 – $936
7	Caresource caresource medicare advantage fee schedule · outpatient	$716	$716	$239	33%	—	$477 – $954
8	Kaiser kaiser medicare advantage fee schedule · outpatient	$716	$716	$239	33%	—	$477 – $954
9	WellCare wellcare medicare advantage fee schedule · outpatient	$716	$716	$239	33%	—	$477 – $954
10	Humana humana medicare advantage ppo fee schedule · outpatient	$723	$723	$241	33%	—	$482 – $963

Last updated: Feb 14, 2026

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