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Alprostadil Urethral Suppository

Oregon rates for HCPCS J0275

Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Rates data updated July 2026.

How much does Alprostadil Urethral Suppository cost?

$40.74

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $25.70 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$40.74$40.74 to $41.69
FacilityA hospital or hospital-owned outpatient department$25.70$25.70 to $25.70

How much rates vary

Facilitymedian $26 · 10th to 90th $26 to $49Professionalmedian $41 · 10th to 90th $28 to $71
$1.0$2.0$5.0$10.0$20.0$50.0$100.0facility $26professional $41

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$28.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$38.90
Typical High
$60.26
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$28.18
Typical High
$40.74
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$42.66
Typical High
$60.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$81.28

Where Oregon sits

The same service costs 2.5 times more in Minnesota than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Oregon $40.74 · 38th of 51
MN $69.18HI $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.