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
LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE
Low
$1
Average
$1.9k
Median
$1.3k
High
$7.6k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
85 hospitals; the 90th percentile is 7.2× 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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95 hospital rates
iThe hospitals that file a Caresource 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 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 2 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $4.9k | — | — | 2–20 | $4.9k – $4.9k |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $606 | $606 | — | — | — | $606 – $606 |
| 4 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $1.5k | $1.5k | $187 | 12% | — | $1.3k – $1.7k |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.4k | $228 | 17% | — | $1.0k – $1.8k |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $364 | 32% | — | $774 – $1.5k |
| 8 | Arkansas Childrens Hospital Little Rock, AR facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Arkansas Childrens Hospital Little Rock, AR facility · per diem · inpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 10 | Arkansas Childrens Northwest Springdale, AR facility · per diem · inpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 11 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 12 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 2 | $1.7k | $1.7k | $578 | 33% | — | $1.2k – $2.3k |
| 13 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 15 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $630 | $630 | — | — | — | $630 – $630 |
| 16 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $698 | $698 | — | — | — | $698 – $698 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $713 | $713 | — | — | — | $713 – $713 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $743 | $743 | — | — | — | $743 – $743 |
| 20 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $610 | $610 | — | — | — | $610 – $610 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 23 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 2 | $0 | $405 | $573 | 141% | — | $0 – $1.2k |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 2 | $607 | $607 | $607 | 100% | — | $0 – $1.2k |
| 25 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 2 | $607 | $607 | $607 | 100% | — | $0 – $1.2k |
← Payers reporting HCPCS J7296 · Snapshot 20261111T120946Z-9134e7f7