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
ETHINYL ESTRADIOL-ETONOGESTREL 0.015 MG-0.12 MG/24 HOURS RING
Low
$19
Average
$104
Median
$78
High
$164
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 2.3× 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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34 hospital rates
iThe hospitals that file a Aetna Better 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 2 | $78 | $78 | — | — | — | $78 – $78 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 2 | $78 | $78 | — | — | — | $78 – $78 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 4 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 6 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 7 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 8 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · inpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 10 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 11 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 12 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 13 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 14 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · inpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 15 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 16 | Norton Kings Daughters Health Inc Madison, IN professional · fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 17 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 18 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 19 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 20 | Pekin Memorial Hospital Pekin, IL percent of total billed charges · inpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 21 | Pekin Memorial Hospital Pekin, IL percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 22 | Proctor Community Hospital Peoria, IL fee schedule · inpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 23 | Proctor Community Hospital Peoria, IL fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 24 | Proctor Community Hospital Peoria, IL percent of total billed charges · inpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 25 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
← Payers reporting HCPCS J7295 · Snapshot 20261111T120946Z-9134e7f7