Code: J9217

Description:
Description: Leuprolide acetate (for depot suspension), 7.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
LEUPRO DEPOT 22.5 MG INJ
LEUPRO DEPOT 30 MG INJ
LEUPRO DEPOT 45 MG INJ
LEUPRO DEPOT 15 MG INJ
Leuprolide Acetate 7.5 Mg
LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT
LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT
LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE
LEUPROLIDE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE
Related codes:
Code: J9210
EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION
Code: J9211
IDARUBICIN HCL 5 MG INJ
Code: J9212
Description: Injection, interferon alfacon-1, recombinant, 1 microgram
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J9213
INTERF ALFA2A 3MIL U INJ
Code: J9214
INTER ALFA2B 1MIL U INJ
Code: J9215
Description: Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J9216
INTER GAMMA 1B 3M U INJ
Code: J9218
LEUPROLIDE ACET 1 MG INJ
Code: J9219
Description: Leuprolide acetate implant, 65 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Massachusetts
Hospital Address Code Price Last Updated
Saint Vincent Hospital 123 Summer St., Worcester J9217 $459 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton J9217 $491 [source] 4 years ago
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham J9217 $507 [source] 4 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick J9217 $507 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge J9217 $515 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston J9217 $522 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs J9217 $1,053 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain J9217 $1,546 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls J9217 $1,546 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston J9217 $2,086 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket J9217 $2,209 [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.