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
GANIRELIX 250 MCG/0.5 ML SUBCUTANEOUS SYRINGE
Peoria, IL
See all hospitals reporting HCPCS S0132 →Price type
Proctor Community Hospital’s median price of $449 is 92% above the median hospital's median price ($234), higher than 82% of the 764 hospitals reporting HCPCS S0132. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 21 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 Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $186 | $186 | — | — | — | $186 – $186 |
| 2 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 3 | UnitedHealthcare va ccn fee schedule · inpatient | $274 | $274 | — | — | — | $274 – $274 |
| 4 | UnitedHealthcare va ccn fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 5 | Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges | $365 | $365 | $141 | 39% | — | $224 – $507 |
| 6 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $365 | $365 | $141 | 39% | — | $224 – $507 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $439 | $439 | $169 | 39% | — | $269 – $608 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $439 | $439 | $169 | 39% | — | $269 – $608 |
| 9 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $439 | $439 | $169 | 39% | — | $269 – $608 |
| 10 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges | $439 | $439 | $169 | 39% | — | $269 – $608 |
| 11 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $570 | $570 | $220 | 39% | — | $350 – $790 |
| 12 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $570 | $570 | $220 | 39% | — | $350 – $790 |
| 13 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $577 | $577 | $223 | 39% | — | $354 – $800 |
| 14 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $587 | $587 | $227 | 39% | — | $361 – $814 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $587 | $587 | $227 | 39% | — | $361 – $814 |
| 16 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $705 | $705 | $272 | 39% | — | $432 – $977 |
| 17 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $716 | $716 | $277 | 39% | — | $440 – $993 |
| 18 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $731 | $731 | $282 | 39% | — | $449 – $1.0k |
| 19 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $731 | $731 | $282 | 39% | — | $449 – $1.0k |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $731 | $731 | $282 | 39% | — | $449 – $1.0k |
| 21 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $979 | $979 | $378 | 39% | — | $601 – $1.4k |
Last updated: Apr 15, 2026
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