RX-171544 — Triptorelin Pamoate(pediatric) 22.5 Mg IM Susr
Cite this view
HANK Price Transparency. (n.d.). TRIPTORELIN PAMOATE(PEDIATRIC) 22.5 MG IM SUSR (OTHER RX-171544) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-171544?code_type=OTHER
“TRIPTORELIN PAMOATE(PEDIATRIC) 22.5 MG IM SUSR (OTHER RX-171544) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-171544?code_type=OTHER. Accessed .
“TRIPTORELIN PAMOATE(PEDIATRIC) 22.5 MG IM SUSR (OTHER RX-171544) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-171544?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $99,626–$224,171 (25th–75th percentile) across 1 hospital · 6 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX-171544 — 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 |
|---|---|---|---|---|---|---|---|
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $91,614.64 | $75,107.70 | $45,064.62 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $91,614.64 | $74,920.47 | $44,952.28 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicare | All Plans | $91,614.64 | $75,107.70 | $45,064.62 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicare | All Plans | $91,614.64 | $74,920.47 | $44,952.28 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medica Managed Care Contracted | All Plans | $123,661.20 | $75,107.70 | $45,064.62 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medica Managed Care Contracted | All Plans | $123,661.20 | $74,920.47 | $44,952.28 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Ambetter | All Plans | $136,229.19 | $75,107.70 | $45,064.62 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Ambetter | All Plans | $136,229.19 | $74,920.47 | $44,952.28 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Aetna Managed Care | All Plans | $176,825.48 | $74,920.47 | $44,952.28 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Aetna Managed Care | All Plans | $176,825.48 | $75,107.70 | $45,064.62 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Managed Care | All Plans | $239,953.20 | $74,920.47 | $44,952.28 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Managed Care | All Plans | $239,953.20 | $75,107.70 | $45,064.62 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Midlands Choice | All Plans | $408,687.54 | $74,920.47 | $44,952.28 | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Midlands Choice | All Plans | $408,687.54 | $75,107.70 | $45,064.62 | 2026-05-06 | MRF ↗ |