40704511C (CDM) by state — Price Transparency

CDM · across United States

40704511C — Lupron Depot 22.5 Mg 3mo Kit

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$15,585 National median

$12,160 – $15,585 IQR (p25 – p75)

1 hospitals filing

1 states

View hospital-by-hospital → Raw rate rows →

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 40704511C (CDM), with interquartile range
State	Median	p25	p75
MT	$15,585	$12,160	$15,585

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

MT	$15,585	$12,160	$15,585	$7,546	$15,913	1 ⚠ thin data	17	18