00074-3683-03 — Lupron Depot
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lupron Depot (OTHER 00074-3683-03) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00074-3683-03?code_type=OTHER
MLA (9th ed.)
“Lupron Depot (OTHER 00074-3683-03) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00074-3683-03?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Lupron Depot (OTHER 00074-3683-03) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00074-3683-03?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,292–$2,208 (25th–75th percentile) across 3 hospitals · 34 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 00074-3683-03 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Amerigroup | Commercial | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Humana | Commercial | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Medicare | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Medicare Advantage | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo/Ppo/Pos | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Indemnity | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Univera | Medicaid | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | State Products | $164.01 | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Ppo | $164.01 | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Medicare Adv | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Self Funded | $164.01 | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Hmo | $164.01 | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Essential Aliessa | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Health Benefit Exchange | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicaid | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Commercial | $183.12 | $13,488.54 | $9,441.98 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Especially For You | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Gem | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Hms Preferred Health Choices | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medimore | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Preferred Medical Solutions | Workers Compensation | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | First Health | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Tricare | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Cigna | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Multiplan | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Umr | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Phcs | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Midlands Choice | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Corvel | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Geha | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare All Savers | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare Surest | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Choicecare | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Other | Other | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medical Associates Health Plan | Mercy Cedar Rapid | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Equian | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Liability | Liability | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Especially For You | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Gem | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Hms Preferred Health Choices | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medimore | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Preferred Medical Solutions | Workers Compensation | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Splashlight | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-23 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Splashlight | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | First Health | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Tricare | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Cigna | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Multiplan | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Umr | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Phcs | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Midlands Choice | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Corvel | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Geha | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare All Savers | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | United Healthcare Surest | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Choicecare | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Other | Other | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Medical Associates Health Plan | Mercy Cedar Rapid | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Equian | Commercial | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| REGIONAL MEDICAL CENTER Inpatient | Liability | Liability | — | $12,264.57 | $9,811.66 | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $1,179.44 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $1,265.17 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $1,291.89 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $1,291.89 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $1,291.89 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $1,291.89 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $1,291.89 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $1,291.89 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $1,291.89 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $1,291.89 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $1,291.89 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $1,481.86 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $1,496.25 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $1,504.17 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $1,565.83 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $1,644.23 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $1,820.39 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $1,870.31 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $1,987.75 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $2,017.41 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $2,022.69 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $2,028.86 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $2,029.74 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $2,094.04 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $2,113.42 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $2,114.01 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $2,224.99 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $2,296.05 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $2,325.41 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $2,536.81 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $2,774.63 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $2,789.31 | $2,936.12 | $1,341.81 | 2026-05-23 | MRF ↗ |