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
$10
Average
$1.3k
Median
$412
High
$29.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1326 hospitals; the 90th percentile is 24.1× 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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2,256 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 12 | $12.1k | $16.9k | $17.1k | 101% | 374 | $497 – $50.6k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.3k | $6.7k | $10.4k | 155% | 331 | $544 – $38.4k |
| 3 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 6 | $15.9k | $20.2k | $15.6k | 77% | 248 | $941 – $53.6k |
| 4 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $190 | $190 | — | — | 223 | $190 – $190 |
| 5 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $10.4k | $21.8k | $24.7k | 114% | 171 | $559 – $69.4k |
| 6 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 6 | $21.3k | $20.1k | $15.0k | 75% | 168 | $676 – $42.0k |
| 7 | Tufts Medical Center BOSTON, MA fee schedule · both | 2 | $100 | $127 | $44 | 35% | 146–155 | $88 – $190 |
| 8 | Massachusetts General Hospital Boston, MA other · outpatient | 2 | $190 | $190 | — | — | 140 | $190 – $190 |
| 9 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $405 | $407 | $13 | 3% | 119–146 | $396 – $437 |
| 10 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 7 | $22.4k | $24.0k | $5.1k | 21% | 117 | $21.5k – $38.4k |
| 11 | Boston Medical Center Boston, MA fee schedule · both | 1 | $190 | $190 | — | — | 112 | $190 – $190 |
| 12 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · outpatientfrom % of charges | 6 | $63 | $62 | $5 | 8% | 108–135 | $56 – $67 |
| 13 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $813 | $813 | — | — | 107 | $813 – $813 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $59 | $54 | $8 | 14% | 100–226 | $36 – $59 |
| 15 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 6 | $53 | $44 | $12 | 27% | 86–185 | $28 – $53 |
| 16 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 4 | $4.8k | $4.2k | $1.0k | 24% | 84 | $2.4k – $4.8k |
| 17 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $175 | $201 | $65 | 32% | 79–88 | $146 – $292 |
| 18 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $59 | $51 | $9 | 17% | 73–208 | $36 – $59 |
| 19 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 12 | $61 | $57 | $16 | 28% | 71–80 | $36 – $75 |
| 20 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $778 | 69% | 58–67 | $355 – $1.9k |
| 21 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $1.4k | $1.2k | $404 | 33% | 54–72 | $319 – $1.5k |
| 22 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.9k | $2.7k | $536 | 20% | 54–72 | $1.9k – $3.1k |
| 23 | Newton Wellesley Hospital Newton, MA other · outpatient | 2 | $190 | $190 | — | — | 49 | $190 – $190 |
| 24 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $187 | $187 | $9 | 5% | 48–66 | $177 – $202 |
| 25 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 2 | $4.4k | $4.4k | — | — | 44 | $4.4k – $4.4k |
← Payers reporting CPT 58301 · Snapshot 20261111T120946Z-9134e7f7