Contraceptive vaginal ring, monthly (ethinyl estradiol and etonogestrel)

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ETHINYL ESTRADIOL-ETONOGESTREL 0.015 MG-0.12 MG/24 HOURS RING

Payers reporting HCPCS J7295

Payer pricing summary

Low

$46

Average

$255

Median

$180

High

$851

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	382	$309	$317	$159	50%	—	$58 – $1.2k
2	Cigna fee schedule · outpatient · +10 other terms	188	$234	$378	$275	73%	—	$114 – $1.1k
3	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	163	$289	$374	$225	60%	—	$0 – $1.1k
4	Aetna fee schedule · outpatient · +13 other terms	120	$224	$264	$172	65%	—	$108 – $1.3k
5	Anthem facility · fee schedule · outpatient · +9 other terms	47	$158	$240	$138	57%	—	$46 – $1.0k
6	Bcbs Tx fee schedule · outpatient	30	$606	$551	$184	33%	—	$225 – $953
7	Molina facility · case rate · outpatient · +13 other terms	29	$121	$110	$41	37%	—	$56 – $218
8	Caresource facility · case rate · outpatient · +3 other terms	16	$129	$134	$35	26%	—	$85 – $222
9	Medcost percent of total billed charges · inpatientfrom % of charges · +3 other terms	16	$374	$413	$141	34%	—	$148 – $930
10	Humana fee schedule · outpatient · +11 other terms	14	$151	$138	$19	14%	—	$85 – $152
11	Optum facility · case rate · outpatient · +3 other terms	13	$116	$122	$37	31%	—	$62 – $197
12	Wellmark fee schedule · both · +3 other terms	13	$138	$138	—	—	—	$138 – $138
13	Bcbs Nj fee schedule · outpatient	12	$148	$147	$13	9%	—	$122 – $154
14	Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms	12	$596	$599	$119	20%	—	$416 – $725
15	Highmark fee schedule · outpatient · +3 other terms	12	$138	$138	$15	11%	—	$106 – $294
16	Medica fee schedule · outpatient · +5 other terms	10	$289	$291	$73	25%	—	$175 – $373
17	Premera fee schedule · outpatient · +1 other terms	9	$294	$271	$43	16%	—	$196 – $344
18	Ucare fee schedule · both · +4 other terms	9	$138	$138	$4	3%	—	$134 – $143
19	Bcbs Mn fee schedule · both · +2 other terms	8	$151	$151	$12	8%	—	$134 – $160
20	Oscar facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	8	$43	$52	$24	46%	—	$20 – $106
21	Aetna Better Health fee schedule · inpatient · +6 other terms	7	$129	$129	—	—	—	$129 – $129
22	Amerihealth Caritas facility · case rate · outpatient · +5 other terms	7	$72	$73	$2	3%	—	$72 – $78
23	Bcbs La fee schedule · outpatient · +1 other terms	7	$176	$176	—	—	—	$176 – $176
24	Regence fee schedule · outpatient · +2 other terms	7	$178	$183	$11	6%	—	$171 – $195
25	Excellus facility · fee schedule · outpatient · +2 other terms	5	$221	$256	$196	77%	—	$110 – $737

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