67979-002-01 [152036] — Histrelin 50 Mg (65 Mcg/day) Implant Kit [164961]
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT [164961] (OTHER 67979-002-01 [152036]) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/67979-002-01 [152036]?code_type=OTHER
MLA (9th ed.)
“HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT [164961] (OTHER 67979-002-01 [152036]) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/67979-002-01 [152036]?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT [164961] (OTHER 67979-002-01 [152036]) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/67979-002-01 [152036]?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $100,363–$114,701 (25th–75th percentile) across 1 hospital · 30 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 67979-002-01 [152036] — 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 |
|---|---|---|---|---|---|---|---|
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Outpatient | $4.35 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ut Care & Texas A&M 65 Plus Medicare Advantage Outpatient Rate | — | $40,145.31 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Tricare | Outpatient | $45,261.80 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ut Care & Texas A&M 65 Plus Medicare Advantage Inpatient Rate | — | $60,217.96 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Inpatient | $63,085.48 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Vacare | Inpatient | $63,085.48 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Kelseycare Medicareadvantage | Outpatient | $63,085.48 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Kelseycare Medicareadvantage | Inpatient | $63,085.48 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Vacare | Outpatient | $74,229.35 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Memorialhermannhealth | Inpatient Pediatric | $93,194.46 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Memorialhermannhealth | Outpatient Pediatric | $93,194.46 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Hmo Openaccess Outpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Promptpay Domestic | — | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Ppo Outpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Hmo Kelseyseybold Outpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Hmo Kelseyseybold Inpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Hmo Openaccess Inpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Hmo Inpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Par Inpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Ppo Inpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Bluedistinctionsct Inpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Unitedhealthcare Cancerresources | Inpatient | $100,363.27 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Optum | Car-T | $101,797.03 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Unitedhealthcare | Hmo Ppo Outpatient | $101,797.03 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Optum | Sct | $101,797.03 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Bluedistinctionsct Outpatient | $103,230.79 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Aetna | Hmo Inpatient | $103,230.79 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Hmo Outpatient | $103,230.79 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Par Outpatient | $103,230.79 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Ppo Outpatient | $103,230.79 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Aetna | Ppo Inpatient | $103,230.79 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Aetna | Sct | $104,664.55 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Aetna | Hmo Outpatient | $104,664.55 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Aetna | Ppo Outpatient | $104,664.55 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Unitedhealthcare | Hmo Ppo Inpatient | $104,664.55 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ontarioministriesofhealth | Outpatient | $106,098.31 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Lifesource Sct | $106,098.31 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Car-T | $106,098.31 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Humana | Hmo Openaccessplus Inpatient | $106,098.31 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Humana | Ppo Inpatient | $106,098.31 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ontarioministriesofhealth | Inpatient | $106,098.31 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Tricare | Inpatient | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Cigna | Ppo Inpatient | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Unitedhealthcare Cancerresources | Outpatient | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Memorialhermannhealth | Inpatient Adult | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Memorialhermannhealth | Outpatient Adult | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Emergingtherapysolutions | Car-T | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Interlink | Car-T | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Beijingst.Lucia | Outpatient | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Beijingst.Lucia | Inpatient | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Embassyofqatar | Inpatient | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Embassyofqatar | Outpatient | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Danish Health Authority Inpatient Rate | — | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Danish Health Authority Outpatient Rate | — | $107,532.07 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Humana | Hmo Openaccessplus Outpatient | $110,399.60 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Humana | Ppo Outpatient | $110,399.60 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Uae Medical | Outpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Emergingtherapysolutions Cancercare | Outpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Uaepoliceattache | Outpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Uaepoliceattache | Inpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Emergingtherapysolutions Cancercare | Inpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Emergingtherapysolutions | Sct | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Interlink Cancercare | Inpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Promptpay International | — | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Interlink Cancercare | Outpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Saudiarmedforces | Outpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Saudiarmedforces | Inpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Uae Medical | Inpatient | $114,700.88 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Vantage | Outpatient | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Multiplan Inpatient Leukemia(Drg 820-825,834-842) & Sct (Drg 14, 16, 17) Rate | — | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Interlink | Sct | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Multiplan Inpatient Sct(Drg 14,16,17) Rate | — | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Healthsmart | Outpatient | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Multiplan | Inpatient | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Healthsmart | Inpatient | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Phcs | Inpatient | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Phcs | Inpatient Leukemia Sct Drg14,16,17,820-825,834-842 | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Multiplan | Inpatient Leukemia Sct Drg14,16,17,820-825,834-842 | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Vantage | Inpatient | $121,869.68 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Phcs | Outpatient | $123,303.45 | $143,376.10 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Multiplan | Outpatient | $123,303.45 | $143,376.10 | — | 2026-05-06 | MRF ↗ |