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
$28
Average
$1.9k
Median
$503
High
$66.0k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
500 hospitals; the 90th percentile is 10.3× 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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840 hospital rates
iThe hospitals that file a First Health 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 Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $11.2k | $15.7k | 140% | 75 | $1.2k – $38.5k |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $15.3k | $15.3k | $14.4k | 94% | 22 | $930 – $29.6k |
| 3 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 2 | $834 | $9.3k | $12.0k | 129% | 21 | $750 – $26.3k |
| 4 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $18.3k | $18.3k | $16.1k | 88% | 19 | $2.2k – $34.4k |
| 5 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 1 | $33.0k | $33.0k | — | — | 13 | $33.0k – $33.0k |
| 6 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $179 | $179 | — | — | 5–50 | $179 – $179 |
| 7 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $3.5k | $3.5k | — | — | 4–40 | $3.5k – $3.5k |
| 8 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $371 | $325 | $80 | 25% | 4–40 | $186 – $371 |
| 9 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $771 | $885 | $162 | 18% | 3–30 | $771 – $1.1k |
| 10 | Fairview Health Services Burnsville, MN percent of total billed charges · bothfrom % of charges | 1 | $371 | $371 | — | — | 3–30 | $371 – $371 |
| 11 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $942 | $942 | $171 | 18% | 2–20 | $771 – $1.1k |
| 12 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 1 | $771 | $771 | — | — | 2–20 | $771 – $771 |
| 13 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $7.5k | $10.0k | $9.3k | 93% | 2–20 | $1.3k – $23.8k |
| 14 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 1 | $771 | $771 | — | — | 1–10 | $771 – $771 |
| 15 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · outpatient | 2 | $39 | $39 | $2 | 5% | 1–10 | $38 – $41 |
| 16 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 17 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 18 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 19 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 20 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 21 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 22 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 23 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 24 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 25 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
← Payers reporting CPT 58301 · Snapshot 20261111T120946Z-9134e7f7