74969403 — Leuprolide (ped 3 Month) 30mg Lupron
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEUPROLIDE (PED 3 MONTH) 30MG LUPRON (NDC 74969403) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74969403?code_type=NDC
MLA (9th ed.)
“LEUPROLIDE (PED 3 MONTH) 30MG LUPRON (NDC 74969403) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74969403?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“LEUPROLIDE (PED 3 MONTH) 30MG LUPRON (NDC 74969403) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74969403?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,511–$19,859 (25th–75th percentile) across 2 hospitals · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 74969403 — 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 |
|---|---|---|---|---|---|---|---|
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross | All | $1,564.60 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield Covered Ca | All | $1,749.65 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield | All | $2,058.41 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Ccah | All | $2,195.50 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Care Health Plan | All | $2,202.50 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaiser Medi-Cal | All | $2,433.67 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Adventist | All | $2,819.70 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Net Medi-Cal | All | $2,927.78 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross Medi-Cal | All | $2,930.30 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Cencal | All | $3,201.19 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kern Health | All | $3,209.75 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc Local | United Select Hmo | $5,500.38 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc National | United Ppo | $5,500.38 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Hmo | $11,901.90 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Ppo | $12,540.77 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Preferred | $13,510.90 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Access | $13,510.90 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Traditional | $13,818.51 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Medben | Direct Agreement | $15,380.19 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Ppo | $15,380.19 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Ppo | $15,380.19 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Pos | $15,380.19 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Pos | $15,380.19 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Hmo | $15,380.19 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Inpatient | Manage Care Systems (Gemcare) | All | $15,706.82 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | First Health (Coventry) | All | $16,970.59 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Net | All | $17,068.08 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Cigna | Ppo | $17,273.14 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Association Benefit Solutions | Direct Agreement | $17,746.37 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Ohio Health Choice | Phc-Plus | $17,746.37 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Accel | $17,746.37 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Dignity Health | All | $17,891.34 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Manage Care Systems (Gemcare) | All | $18,053.82 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Managed Care Systems (Drmg) | All | $18,053.82 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaiser | All | $18,053.82 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Ppo | $18,219.61 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Hmo | $18,219.61 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo Marketplace | Hmo | $18,219.61 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners Marketplace | Antidote Health | $18,456.23 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners | Ppo | $18,456.23 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Nbd | All | $18,595.43 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Ppo | $18,929.46 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Pos | $18,929.46 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Hmo | $18,929.46 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Aso | $18,929.46 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Incentive Health | All | $19,859.20 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaweah Delta Healthcare | All | $19,859.20 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Stanislaus Partners In Health | All | $19,859.20 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Health Networks | All | $19,859.20 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Inpatient | Healthsmart | All | $20,942.43 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Epos | $21,295.65 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Hmo | $21,295.65 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Pos | $21,295.65 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Ppo | $21,295.65 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Traditional | $21,295.65 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Plan Of San Joaquin | All | $21,664.58 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Ohio Health Choice | Ppo | $22,478.74 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Hpo | $22,478.74 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Ppo | $22,478.74 | $23,661.83 | $11,830.92 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Aetna | All | $24,192.12 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Bakersfield Family Medical Center | All | $27,080.73 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Multiplan (Phcs) | All | $27,665.67 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Healthsmart | All | $28,886.11 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Sutter Hospitals (Epo) | All | $30,691.49 | $36,107.64 | $36,107.64 | 2026-10-21 | MRF ↗ |