Code: J1055

Description:
INJ MDRXYPRGESTRON ACTAT CNTRACPT USE 150 MG
Other Descriptions:
MEDROXYPROGESTERONE 150MG/1ML PER 1MG
DEPO-PROVERA AS CONTRACEPTIVE
MEDRXYPROGESTER ACETATE INJ
Related codes:
Code: J1050
MEDRXYPRGTRN 150MG INJ
Code: J1051
INJECTION MEDROXYPROGESTERONE ACETATE 50 MG
Code: J1056
INJ MEDROXYPROGESTRON/ESTRADIOL CYPIONATE 5/25MG
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook J1055 $104 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee J1055 $138 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village J1055 $182 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale J1055 $186 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange J1055 $188 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights J1055 $188 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, J1055 $189 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.