HCPCS J1954
Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg
Current code28 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $680 – $748 | — | — |
| Deaconess Medical Center | $680 – $748 | — | — |
| Harborview Medical Center | $707 – $777 | — | — |
| Island Hospital | $826 – $875 | — | — |
| Kadlec Regional Medical Center | $694 – $832 | — | — |
| Legacy Salmon Creek Medical Center | $714 – $777 | — | — |
| Mary Bridge Children's Hospital | $680 – $748 | — | — |
| MultiCare Auburn Medical Center | $680 – $748 | — | — |
| MultiCare Covington Medical Center | $680 – $748 | — | — |
| MultiCare Good Samaritan Hospital | $680 – $748 | — | — |
| MultiCare Valley Hospital | $700 – $748 | — | — |
| Olympic Medical Center | $867 – $1,114 | — | — |
| Overlake Hospital Medical Center & Clinics | $694 – $721 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $694 – $832 | — | — |
| Providence Centralia Hospital | $694 – $1,110 | — | — |
| Providence Holy Family Hospital | $694 – $763 | — | — |
| Providence Regional Medical Center Everett | $694 – $763 | — | — |
| Providence St Mary Medical Center | $694 – $763 | — | — |
| Providence St Peter Hospital | $694 – $1,110 | — | — |
| Swedish Edmonds Hospital | $694 – $832 | — | — |
| Swedish Issaquah | $694 – $832 | — | — |
| Swedish Medical Center | $694 – $832 | — | — |
| Swedish Medical Center / Cherry Hill | $694 – $832 | — | — |
| Tacoma General Allenmore Hospital | $680 – $748 | — | — |
| University of Washington Medical Ctr | $707 – $777 | — | — |
| Virginia Mason Medical Center | $495 – $742 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $680 – $761 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $684 (APC 9136)
- Surgery center payment (national)
- $684