What do doctors typically charge for Injection Leuprolide Acetate for Depot Suspension per 3 75 Mg?

The nationwide median physician charge for Injection Leuprolide Acetate for Depot Suspension per 3 75 Mg (HCPCS J1950) is $238.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J1950?

The standard insurance baseline reimbursement rate is $234.24. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection Leuprolide Acetate for Depot Suspension per 3 75 Mg

HCPCS J1950Medical Service

Injection Leuprolide Acetate for Depot Suspension per 3 75 Mg

Injection, leuprolide acetate (for depot suspension), per 3.75 mg. Clinical pricing breakdown and utilization metrics across 2 practicing doctors nationwide.

$238.00

Peer Median Charge

Gross billed rate

$234.24

Standard Baseline

Customary allowable

1.0x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $238.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $234.24 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code J1950 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"