74969403 (NDC) by state — Price Transparency

NDC · across United States

74969403 — Leuprolide (ped 3 Month) 30mg Lupron

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

$17,973 National median

$13,511 – $19,859 IQR (p25 – p75)

2 hospitals filing

2 states

View hospital-by-hospital → Raw rate rows →

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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.

Uninsured estimates use the cash / self-pay median for this code: $11,831.

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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 74969403 (NDC), with interquartile range
State	Median	p25	p75
OH	$18,220	$15,380	$19,521
CA	$17,480	$2,930	$19,859

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

OH	$18,220	$15,380	$19,521	$11,902	$22,479	1 ⚠ thin data	13	32
CA	$17,480	$2,930	$19,859	$1,565	$30,691	1 ⚠ thin data	26	32