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Histrelin Implant (Vantas)

Pennsylvania rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Rates data updated July 2026.

How much does Histrelin Implant (Vantas) cost?

$5,012per 50 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,012 for each 50 mg of this drug. The price depends on where it is billed: about $5,012 from a physician practice, and about $7,413 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 50 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$5,012
At a hospital outpatient department
$7,413

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$5,012$4,898 to $5,012
FacilityA hospital or hospital-owned outpatient department$7,413$6,310 to $10,715

How much rates vary

Facilitymedian $7,413 · 10th to 90th $5,012 to $13,804Professionalmedian $5,012 · 10th to 90th $4,677 to $5,888
$100.0$1.0K$10.0Kfacility $7,413professional $5,012

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
$5,011.87
Median
$7,413.10
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,011.87
Typical High
$5,011.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,897.79
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$17,378.01
Typical High
$18,620.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,888.44
Typical High
$5,888.44
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,479.11
Typical High
$2,630.27
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,413.10
Typical High
$12,882.50
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,011.87
Typical High
$6,309.57
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,495.41
Typical High
$11,748.98
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,495.41
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,370.32
Typical High
$6,165.95

Where Pennsylvania sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $5,012 · 10th of 51
NY $5,888NE $4,677

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.