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Triptorelin Pamoate Injection

Nebraska rates for HCPCS J3315 · Trelstar

Injection, triptorelin pamoate, 3.75 mg

Rates data updated October 2026.

How much does Trelstar (triptorelin pamoate) cost?

$1,646per dose

One 13 mg dose, at the doctor's office rate. In Nebraska, October 2026.

Negotiated ratewhat insurers pay per 3.75 mg of the drug
$490 / 3.75 mg
Average doseacross Medicare claims, discarded units included
× 13 mg
One dosedrug only; giving it and the visit are billed separately
$1,646

Work out the cost of a dose

This drug is priced per 3.75 mg. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mg
In a doctor's office or clinic
$1,698
At a hospital outpatient department
$1,737

The same drug, in the same amount, costs 2% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 the price changes

Given atPer 3.75 mgPer 13 mg dose
Doctor's office or clinic$490$1,646
Hospital outpatient department$501$1,684

How much rates vary

Facilitymedian $501 · 10th to 90th $398 to $575Professionalmedian $490 · 10th to 90th $468 to $708
$500$1K$2Kfacility $501professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$933.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$501.19
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$524.81
Typical High
$537.03
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$524.81
Typical High
$537.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$478.63
Typical High
$588.84
Medica
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$933.25
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$489.78
Typical High
$741.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$776.25
United
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$467.74
Typical High
$1,071.52

Where Nebraska sits

The same service costs 3.9 times more in Alabama than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 28th of 51

$501

AL $1,023OK $263

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.