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Leuprolide Acetate

Pennsylvania rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Rates data updated July 2026.

How much does Leuprolide Acetate cost?

$51.29per mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $51.29 for each mg of this drug. The price depends on where it is billed: about $51.29 from a physician practice, and about $74.13 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$51.29
At a hospital outpatient department
$74.13

The same drug, in the same amount, costs 45% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$51.29$47.86 to $51.29
FacilityA hospital or hospital-owned outpatient department$74.13$47.86 to $112

How much rates vary

Facilitymedian $74 · 10th to 90th $15 to $148Professionalmedian $51 · 10th to 90th $12 to $60
$10.0$100.0$1.0K$10.0Kfacility $74professional $51

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
$14.79
Median
$70.79
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$51.29
Typical High
$52.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$181.97
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$53.70
Typical High
$53.70
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.13
Typical High
$18.20
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$67.61
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$51.29
Typical High
$64.57
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.80
Typical High
$33.88
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$14.45
Typical High
$190.55
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$50.12
Typical High
$61.66

Where Pennsylvania sits

The same service costs 4.3 times more in Delaware than in New York. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $51.29 · 7th of 51
DE $51.29NY $12.02

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.