Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HB Remove Intrauterine Device
Low
$35
Average
$1.2k
Median
$603
High
$22.3k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
536 hospitals; the 90th percentile is 23.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,155 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 6 | $72 | $54 | $24 | 44% | 252–333 | $20 – $76 |
| 2 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $466 | $466 | $195 | 42% | 123 | $271 – $662 |
| 3 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $766 | $813 | $160 | 20% | 108–117 | $644 – $1.1k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 6 | $790 | $697 | $208 | 30% | 90 | $246 – $831 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 7 | $871 | $851 | $150 | 18% | 84 | $526 – $1.1k |
| 6 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $237 | $237 | $7 | 3% | 40–67 | $231 – $244 |
| 7 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $313 | $327 | $207 | 63% | 37–91 | $49 – $633 |
| 8 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $425 | $425 | $59 | 14% | 37 | $366 – $484 |
| 9 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $490 | $495 | $6 | 1% | 33–51 | $490 – $504 |
| 10 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $718 | $718 | $3 | 0% | 31 | $715 – $722 |
| 11 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $282 | $282 | — | — | 27–72 | $282 – $282 |
| 12 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $282 | $282 | — | — | 22–40 | $282 – $282 |
| 13 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | $4.3k | 74% | 16–25 | $1.5k – $10.1k |
| 14 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $1.9k | $41 | 2% | 14 | $1.8k – $1.9k |
| 15 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | — | — | 13 | $282 – $282 |
| 16 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $59 | $54 | $7 | 13% | 9–90 | $36 – $59 |
| 17 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 3 | $59 | $51 | $9 | 17% | 8–80 | $36 – $59 |
| 18 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $801 | $705 | $248 | 35% | 8–80 | $306 – $913 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 5 | $1.1k | $927 | $205 | 22% | 5–50 | $526 – $1.1k |
| 20 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 6 | $78 | $65 | $14 | 22% | 5–50 | $49 – $78 |
| 21 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $625 | $614 | $83 | 13% | 4–40 | $508 – $711 |
| 22 | Eskenazi Health Indianapolis, IN facility · per diem · both | 4 | $285 | $285 | — | — | 4–40 | $285 – $285 |
| 23 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 4 | $285 | $285 | — | — | 4–40 | $285 – $285 |
| 24 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 3 | $53 | $43 | $12 | 28% | 4–40 | $28 – $53 |
| 25 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 3 | $854 | $757 | $283 | 37% | 4–40 | $315 – $1.0k |
← Payers reporting CPT 58301 · Snapshot 20261111T120946Z-9134e7f7