22907309_1 (CDM) — raw rate rows

CDM · raw rates

22907309_1 — Triptorelin 11.25 Mg Rec Injection

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

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Typical negotiated price $3,540

Usually $3,167–$3,652 (25th–75th percentile) across 1 hospital · 5 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 22907309_1 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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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
SYRINGA GENERAL HOSPITAL Outpatient	AETNA-ALL PLANS	AETNA-ALL PLANS	$1,863.18	$3,726.35	$3,353.72	2026-01-02	MRF ↗
SYRINGA GENERAL HOSPITAL Outpatient	MULTIPLAN-ALL PLANS	MULTIPLAN-ALL PLANS	$3,167.40	$3,726.35	$3,353.72	2026-01-02	MRF ↗
SYRINGA GENERAL HOSPITAL Outpatient	FIRST CHOICE HEALTH - ALL PLANS	FIRST CHOICE HEALTH - ALL PLANS	$3,540.03	$3,726.35	$3,353.72	2026-01-02	MRF ↗
SYRINGA GENERAL HOSPITAL Outpatient	BLUE CROSS-ALL PLANS	BLUE CROSS-ALL PLANS	$3,651.82	$3,726.35	$3,353.72	2026-01-02	MRF ↗
SYRINGA GENERAL HOSPITAL Outpatient	REGENCE BLUE SHIELD-ALL PLANS	REGENCE BLUE SHIELD-ALL PLANS	$3,726.35	$3,726.35	$3,353.72	2026-01-02	MRF ↗