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
$210
Average
$268
Median
$228
High
$541
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 1.7× 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.
Filter by billing methodology
Filter by billing class
23 hospital rates
iThe hospitals that file a Ambetter 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 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $541 | $541 | $181 | 33% | — | $360 – $722 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $241 | $226 | $47 | 21% | — | $153 – $274 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $253 | $234 | $48 | 20% | — | $160 – $281 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $247 | $231 | $48 | 21% | — | $157 – $281 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $241 | $229 | $48 | 21% | — | $153 – $281 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $231 | $224 | $49 | 22% | — | $146 – $281 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $219 | $216 | $49 | 23% | — | $139 – $274 |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $320 | $297 | $60 | 20% | — | $203 – $357 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $302 | $289 | $62 | 21% | — | $191 – $357 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $219 | $216 | $49 | 23% | — | $139 – $274 |
| 11 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 12 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 13 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 14 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $376 | $331 | $65 | 20% | — | $239 – $377 |
| 15 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS percent of total billed charges · bothfrom % of charges | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 16 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $219 | $216 | $49 | 23% | — | $139 – $274 |
| 17 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 2 | $219 | $216 | $49 | 23% | — | $139 – $274 |
| 18 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 2 | $225 | $219 | $48 | 22% | — | $143 – $274 |
| 19 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $222 | $218 | $49 | 22% | — | $141 – $274 |
| 20 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · inpatientfrom % of charges | 2 | $254 | $235 | $47 | 20% | — | $161 – $281 |
| 21 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · outpatientfrom % of charges | 2 | $231 | $224 | $49 | 22% | — | $146 – $281 |
| 22 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $539 | $539 | — | — | — | $539 – $539 |
| 23 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $374 | $374 | — | — | — | $374 – $374 |
← Payers reporting HCPCS J7295 · Snapshot 20261111T120946Z-9134e7f7