HCPCS J3315
Injection, triptorelin pamoate, 3.75 mg
Current code34 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $603 – $893 | — | — |
| Deaconess Medical Center | $551 – $584 | — | — |
| Harborview Medical Center | — | — | — |
| Island Hospital | $569 – $617 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $570 – $616 | — | — |
| MultiCare Auburn Medical Center | $560 – $605 | — | — |
| MultiCare Covington Medical Center | $560 – $605 | — | — |
| MultiCare Good Samaritan Hospital | $573 – $619 | — | — |
| MultiCare Valley Hospital | $547 – $580 | — | — |
| Olympic Medical Center | $705 – $772 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $1,715 – $8,149 | $2,638 – $12,537 |
| PeaceHealth Southwest Medical Cente | $482 | $1,715 – $8,149 | $2,638 – $12,537 |
| PeaceHealth St John Medical Center | $361 – $486 | $1,715 – $8,149 | $2,638 – $12,537 |
| PeaceHealth St Joseph Medical Center | $486 | $1,715 – $8,149 | $2,638 – $12,537 |
| PeaceHealth United General Medical Center | — | $1,715 – $8,149 | $2,638 – $12,537 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $6,098 – $12,200 | $8,711 – $17,428 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Swedish Edmonds Hospital | — | $2,274 – $13,647 | $4,739 – $28,431 |
| Swedish Issaquah | — | $2,274 – $13,647 | $4,739 – $28,431 |
| Swedish Medical Center | — | $2,274 – $13,647 | $4,739 – $28,431 |
| Swedish Medical Center / Cherry Hill | — | $2,274 – $13,647 | $4,739 – $28,431 |
| Tacoma General Allenmore Hospital | $573 – $619 | $1,711 – $2,367 | $4,277 – $5,918 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $548 – $636 | — | — |
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)
- $467 (APC 9122)
- Surgery center payment (national)
- $467