Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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40704511C — Lupron Depot 22.5 Mg 3mo Kit

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 $15,585

Usually $12,160–$15,585 (25th–75th percentile) across 1 hospital · 17 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 40704511C — 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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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
FRANCES MAHON DEACONESS HOSPITAL Outpatient IHS-ALL PLANS IHS-ALL PLANS $7,546.30 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient BCBS MCR ADV BCBS MCR ADV $7,546.30 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient UHC MCR ADV UHC MCR ADV $7,546.30 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient HUMANA MCR ADV-ALL PLANS HUMANA MCR ADV-ALL PLANS $7,546.30 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient BCBS MCAID BCBS MCAID $11,565.53 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient BCBS BLUECHIP/HMK BCBS BLUECHIP/HMK $13,944.25 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient BCBS-ALL OTHER PLANS BCBS-ALL OTHER PLANS $15,256.65 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient PACIFIC SOURCE-ALL PLANS PACIFIC SOURCE-ALL PLANS $15,584.75 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient MULTIPLAN-ALL PLANS MULTIPLAN-ALL PLANS $15,584.75 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $15,584.75 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient UHC COMM-ALL OTHER PLANS UHC COMM-ALL OTHER PLANS $15,584.75 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient FIRST CHOICE HEALTH-ALL PLANS FIRST CHOICE HEALTH-ALL PLANS $15,584.75 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient ALLEGIANCE MT ALLEGIANCE MT $15,584.75 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient ALLEGIANCE/CIGNA-ALL OTHER PLANS ALLEGIANCE/CIGNA-ALL OTHER PLANS $15,584.75 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient INTERWEST-ALL PLANS INTERWEST-ALL PLANS $15,584.75 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient HEALTH INFONET-ALL PLANS HEALTH INFONET-ALL PLANS $15,584.75 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient GEHA-ALL PLANS GEHA-ALL PLANS $15,912.85 $16,405.00 $14,764.50 2026-06-09 MRF ↗
FRANCES MAHON DEACONESS HOSPITAL Outpatient MONTANA CO-OP-ALL PLANS MONTANA CO-OP-ALL PLANS $15,912.85 $16,405.00 $14,764.50 2026-06-09 MRF ↗