HCPCS J9217
Leuprolide acetate (for depot suspension), 7.5 mg
Current codeInjection - Growth/Hormone Factor49 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) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $5,899 | $5,899 |
| Capital Medical Center | $431 – $638 | $322 – $635 | $806 – $1,586 |
| Cascade Valley Hospital | $195 – $31,814 | $2,602 – $23,679 | $3,252 – $29,599 |
| Deaconess Medical Center | $394 – $417 | $138 – $266 | $346 – $664 |
| EvergreenHealth Medical Center | — | $1,884 – $11,011 | $2,355 – $13,764 |
| EvergreenHealth Monroe | $191 | $5,537 – $8,716 | $6,921 – $10,895 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $2,102 – $13,225 | $6,885 – $43,310 |
| Island Hospital | $407 – $441 | $412 | $412 |
| Kadlec Regional Medical Center | — | $546 – $2,182 | $779 – $3,117 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $408 – $440 | $757 | $1,892 |
| MultiCare Auburn Medical Center | $400 – $432 | $490 | $1,224 |
| MultiCare Covington Medical Center | $400 – $432 | — | — |
| MultiCare Good Samaritan Hospital | $410 – $442 | — | — |
| MultiCare Valley Hospital | $392 – $415 | — | — |
| Olympic Medical Center | $504 – $552 | $429 – $1,799 | $537 – $2,249 |
| Overlake Hospital Medical Center & Clinics | — | $75.88 – $878 | $152 – $1,757 |
| PeaceHealth Peace Island Medical Center | — | $526 – $7,989 | $809 – $12,290 |
| PeaceHealth Southwest Medical Cente | $178 | $526 – $7,989 | $809 – $12,290 |
| PeaceHealth St John Medical Center | $133 – $179 | $526 – $7,989 | $809 – $12,290 |
| PeaceHealth St Joseph Medical Center | $179 | $526 – $7,989 | $809 – $12,290 |
| PeaceHealth United General Medical Center | — | $526 – $7,989 | $809 – $12,290 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $778 – $1,556 | $1,111 – $2,222 |
| Providence Centralia Hospital | — | $344 | $662 |
| Providence Holy Family Hospital | — | $778 – $1,556 | $1,111 – $2,222 |
| Providence Mount Carmel Hospital | — | $1,425 | $2,036 |
| Providence Regional Medical Center Everett | — | $762 | $1,466 |
| Providence St Mary Medical Center | — | $836 – $3,528 | $1,194 – $5,039 |
| Providence St Peter Hospital | — | $344 – $1,378 | $662 – $2,650 |
| Seattle Children's Hospital | $577 – $6,723 | $2,243 – $20,680 | $2,243 – $20,680 |
| Skagit Valley Hospital | $395 – $596 | $2,366 – $23,679 | $2,958 – $29,599 |
| St Anthony Hospital | — | $2,094 – $13,173 | $6,885 – $43,310 |
| St Clare Hospital | — | $1,985 – $12,484 | $6,885 – $43,310 |
| St Elizabeth Hospital | $1,170 – $8,965 | $2,433 – $15,304 | $6,885 – $43,310 |
| St Francis Community Hospital | — | $2,161 – $13,592 | $6,885 – $43,310 |
| St Joseph Medical Center | — | $2,280 – $14,344 | $6,885 – $43,310 |
| St Michael Medical Center | — | $3,039 – $19,115 | $6,885 – $43,310 |
| Swedish Edmonds Hospital | — | $503 – $3,021 | $1,049 – $6,293 |
| Swedish Issaquah | — | $503 – $3,021 | $1,049 – $6,293 |
| Swedish Medical Center | — | $503 – $3,021 | $1,049 – $6,293 |
| Swedish Medical Center / Cherry Hill | — | $503 – $3,021 | $1,049 – $6,293 |
| Tacoma General Allenmore Hospital | $410 – $443 | $323 – $934 | $807 – $2,334 |
| Three Rivers Hospital | $2,578 | $3,683 | $3,683 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $185 – $3,672 | $362 – $7,201 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $744 – $952 | $744 – $952 |
| Yakima Valley Memorial | $392 – $455 | $322 – $938 | $806 – $2,345 |
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)
- $189 (APC 9217)
- Surgery center payment (national)
- $189