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
REM INTRAUTERINE DEVICE-IUD
Low
$1
Average
$1.1k
Median
$530
High
$28.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1995 hospitals; the 90th percentile is 16.8× 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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3,902 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $66 | $66 | — | — | 405 | $66 – $66 |
| 2 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $414 | $400 | $24 | 6% | 226 | $353 – $414 |
| 3 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $66 | $66 | — | — | 189 | $66 – $66 |
| 4 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $155 | $313 | $287 | 92% | 125–143 | $68 – $716 |
| 5 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $1.7k | $1.6k | $149 | 9% | 113 | $1.4k – $1.8k |
| 6 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $307 | $253 | $89 | 35% | 102–156 | $83 – $318 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $113 | $114 | $22 | 20% | 89 | $91 – $138 |
| 8 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $107 | $108 | $21 | 20% | 89 | $87 – $130 |
| 9 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $130 | $130 | — | — | 73–82 | $130 – $130 |
| 10 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $9.2k | $13.7k | $14.3k | 104% | 66 | $607 – $38.5k |
| 11 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 4 | $48 | $46 | $22 | 47% | 66–84 | $20 – $70 |
| 12 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL case rate · outpatient | 2 | $11.2k | $11.2k | $588 | 5% | 62 | $10.6k – $11.8k |
| 13 | St. Lukes Hospital of Kansas City City, KS case rate · both | 17 | $70 | $75 | $14 | 19% | 53–107 | $39 – $97 |
| 14 | St. Lukes Hospital of Kansas City City, KS per diem · outpatient | 13 | $937 | $905 | $110 | 12% | 51–87 | $524 – $937 |
| 15 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $11.2k | $11.2k | $588 | 5% | 42 | $10.6k – $11.8k |
| 16 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 3 | $23.4k | $26.5k | $8.8k | 33% | 39 | $17.6k – $38.4k |
| 17 | Northwestern Lake Forest Hospital Grayslake, IL case rate · outpatient | 2 | $366 | $366 | $20 | 5% | 38 | $346 – $385 |
| 18 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $319 | $347 | $61 | 18% | 36–54 | $292 – $432 |
| 19 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $263 | $263 | — | — | 35–44 | $263 – $263 |
| 20 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $282 | $282 | — | — | 34–52 | $282 – $282 |
| 21 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $410 | $410 | — | — | 32 | $410 – $410 |
| 22 | Samaritan Hospital Troy, NY professional · fee schedule · both | 1 | $72 | $72 | — | — | 32 | $72 – $72 |
| 23 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient | 1 | $70 | $70 | — | — | 29 | $70 – $70 |
| 24 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 1 | $10.3k | $10.3k | — | — | 27–36 | $10.3k – $10.3k |
| 25 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $282 | $282 | — | — | 26–44 | $282 – $282 |
← Payers reporting CPT 58301 · Snapshot 20261112T181611Z-3fa9fb76