HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Current codeInjection - Growth/Hormone Factor49 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J9217 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$5,899$5,899
Capital Medical CenterOlympiaFile dated 2026-08-27$173 – $1906 plans$322 – $635$806 – $1,586
Cascade Valley HospitalArlington$181 – $1903 plans$2,602 – $23,679$3,252 – $29,599
Deaconess Medical CenterSpokaneFile dated 2026-08-27$173 – $1908 plans$138 – $266$346 – $664
EvergreenHealth Medical CenterKirkland$191 – $1955 plans$1,884 – $11,011$2,355 – $13,764
EvergreenHealth MonroeMonroe$186 – $1925 plans$5,537 – $8,716$6,921 – $10,895
Harborview Medical CenterSeattleFile dated 2026-04-01$176 – $1945 plans——
Highline Medical CenterBurienFile dated 2026-02-28$173 – $19911 plans$2,102 – $13,225$6,885 – $43,310
Island HospitalAnacortes$206 – $21811 plans$412$412
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$176 – $2117 plans$546 – $2,182$779 – $3,117
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$181 – $1976 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$173 – $1907 plans$757$1,892
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$173 – $1907 plans$490$1,224
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$173 – $1907 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$173 – $1907 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$178 – $1907 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$216 – $2785 plans$429 – $1,799$537 – $2,249
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$176 – $1833 plans$75.88 – $878$152 – $1,757
PeaceHealth Peace Island Medical CenterFriday Harbor—$526 – $7,989$809 – $12,290
PeaceHealth Southwest Medical CenteVancouver$171 – $19613 plans$526 – $7,989$809 – $12,290
PeaceHealth St John Medical CenterLongview$133 – $18814 plans$526 – $7,989$809 – $12,290
PeaceHealth St Joseph Medical CenterBellingham$171 – $1888 plans$526 – $7,989$809 – $12,290
PeaceHealth United General Medical CenterSedro Woolley—$526 – $7,989$809 – $12,290
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$176 – $2117 plans$778 – $1,556$1,111 – $2,222
Providence Centralia HospitalCentraliaFile dated 2026-04-01$176 – $2826 plans$344$662
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$176 – $1945 plans$778 – $1,556$1,111 – $2,222
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,425$2,036
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$176 – $1946 plans$762$1,466
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$176 – $1945 plans$836 – $3,528$1,194 – $5,039
Providence St Peter HospitalOlympiaFile dated 2026-04-01$176 – $2826 plans$344 – $1,378$662 – $2,650
Seattle Children's HospitalSeattle—$2,243 – $20,680$2,243 – $20,680
Skagit Valley HospitalMount Vernon$181 – $195at least 4 plans$2,366 – $23,679$2,958 – $29,599
St Anthony HospitalGig HarborFile dated 2026-02-28$176 – $20312 plans$2,094 – $13,173$6,885 – $43,310
St Clare HospitalLakewoodFile dated 2026-02-28$195 – $22512 plans$1,985 – $12,484$6,885 – $43,310
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,239 – $9,52812 plans$2,433 – $15,304$6,885 – $43,310
St Francis Community HospitalFederal WayFile dated 2026-02-28$173 – $19912 plans$2,161 – $13,592$6,885 – $43,310
St Joseph Medical CenterTacomaFile dated 2026-02-28$176 – $23612 plans$2,280 – $14,344$6,885 – $43,310
St Michael Medical CenterSilverdaleFile dated 2026-02-28$181 – $21910 plans$3,039 – $19,115$6,885 – $43,310
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$176 – $2117 plans$503 – $3,021$1,049 – $6,293
Swedish IssaquahIssaquahFile dated 2026-04-01$176 – $2117 plans$503 – $3,021$1,049 – $6,293
Swedish Medical CenterSeattleFile dated 2026-04-01$176 – $2117 plans$503 – $3,021$1,049 – $6,293
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$176 – $2117 plans$503 – $3,021$1,049 – $6,293
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$173 – $1907 plans$323 – $934$807 – $2,334
Three Rivers HospitalBrewster—$3,683$3,683
University of Washington Medical CtrSeattleFile dated 2026-04-01$176 – $1945 plans——
Virginia Mason Medical CenterSeattle$124 – $1859 plans$185 – $3,672$362 – $7,201
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$744 – $952$744 – $952
Yakima Valley MemorialYakimaFile dated 2026-08-27$173 – $1938 plans$322 – $938$806 – $2,345

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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