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 45 mg syringe kit 1 each KIT
San Angelo, TX
See all hospitals reporting HCPCS J9217 →Price type
Shannon River Crest Hospital’s median price of $1.7k is 285% above the median hospital's median price ($453), higher than 77% 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: 7 payers, 17 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 | Humana medicare advantage facility · case rate · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 2 | Ambetter ppo facility · case rate · outpatient | $334 | $334 | — | — | — | $334 – $334 |
| 3 | Bcbs Tx hmo facility · fee schedule · outpatient | $672 | $672 | — | — | — | $672 – $672 |
| 4 | Bcbs Tx bav facility · fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 5 | Bcbs Tx ppo facility · fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 6 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $8.1k | $15.1k | $13.6k | 90% | — | $1.5k – $42.8k |
| 7 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $8.1k | $15.1k | $13.6k | 90% | 8–80 | $1.5k – $42.8k |
| 8 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $8.8k | $16.5k | $14.8k | 90% | — | $1.6k – $46.7k |
| 9 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $9.2k | $17.2k | $15.4k | 90% | — | $1.7k – $48.7k |
| 10 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $9.2k | $17.2k | $15.4k | 90% | — | $1.7k – $48.7k |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $9.2k | $17.2k | $15.4k | 90% | — | $1.7k – $48.7k |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $9.2k | $17.2k | $15.4k | 90% | — | $1.7k – $48.7k |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $9.2k | $17.2k | $15.4k | 90% | — | $1.7k – $48.7k |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $9.5k | $17.9k | $16.0k | 90% | — | $1.8k – $50.6k |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $9.5k | $17.9k | $16.0k | 90% | 8–80 | $1.8k – $50.6k |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $9.8k | $18.3k | $16.4k | 90% | — | $1.8k – $51.9k |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $9.8k | $18.3k | $16.4k | 90% | — | $1.8k – $51.9k |
Last updated: Dec 8, 2025
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