Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS J3316 (Triptodur) Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, triptorelin, extended-release, 3.75 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None 99 - Other POS |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J3316 |
| Medicare Payment Limit | $3817.277  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 24338-0150-20 - TRIPTODUR (LYOPHILIZED) 22.5 MG |
National average reimbursement for HCPCS J3316 by major payers:
$3,097.54
$3,760.98
$3,564.47
$3,370.79
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J3316.
HCPCS J3316
5 of 25 sample ratesHigher to lower in this preview
Fairview Health Services, Fairview Diagnostic Laboratory
Fairview Health Services
$6,366.02Published rateSt. John Hospital
Ascension St John Hospital
$4,228.27Published rateSauk Prairie Healthcare Inc
$3,909.27Published rateNew Manna Clg, LLC, Lake Health Beachwood Medical Center
New Manna Clg LLC
$3,512.09Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$3,059.75Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS J3316 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3316 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J3316 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 24338-0150-20-NDC | Moderate | TRIPTODUR (LYOPHILIZED) 22.5 MG |
| J3315-HCPCS | Moderate | Injection, triptorelin pamoate, 3.75 mg |
| J3316-HCPCS | High | Injection, triptorelin, extended-release, 3.75 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3316. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3316 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS J3316) and we'll show you how you compare in 15 minutes or less.