P00155 (CDM) — raw rate rows

CDM · raw rates

P00155 — Leuprolide 22.5 Mg/3 Months Kit [Wish]

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 $8,746

Usually $8,519–$10,337 (25th–75th percentile) across 1 hospital · 6 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM P00155 — 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
SOUTH CENTRAL HEALTH Both	HealthPartners	Commercial	$7,951.00	$11,359.00	$10,223.00	2026-09-14	MRF ↗
SOUTH CENTRAL HEALTH Both	Medica	Commercial	$8,519.00	$11,359.00	$10,223.00	2026-09-14	MRF ↗
SOUTH CENTRAL HEALTH Both	Aetna	Commercial	$8,519.00	$11,359.00	$10,223.00	2026-09-14	MRF ↗
SOUTH CENTRAL HEALTH Both	Humana	Medicare Advantage	$8,974.00	$11,359.00	$10,223.00	2026-09-14	MRF ↗
SOUTH CENTRAL HEALTH Both	Sanford Health Plan	Commercial	$10,791.00	$11,359.00	$10,223.00	2026-09-14	MRF ↗
SOUTH CENTRAL HEALTH Both	Blue Cross Blue Shield	PPO	$11,359.00	$11,359.00	$10,223.00	2026-09-14	MRF ↗