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
$758
Average
$1.9k
Median
$2.0k
High
$3.8k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 2.9× 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
60 hospital rates
iThe hospitals that file a Healthpartners 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $1.5k | $1.2k | $552 | 45% | 1–10 | $349 – $1.7k |
| 2 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $349 | $763 | $586 | 77% | 1–10 | $349 – $1.6k |
| 3 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 4 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 5 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 6 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 7 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 8 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4.0k | $4.0k | $2.3k | 58% | — | $1.7k – $6.3k |
| 10 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $3.4k | $3.7k | $2.2k | 59% | — | $1.4k – $6.3k |
| 11 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $1.7k | $1.6k | $159 | 10% | — | $1.4k – $1.7k |
| 13 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 3 | $1.7k | $1.6k | $159 | 10% | — | $1.4k – $1.7k |
| 15 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | $248 | 12% | — | $1.8k – $2.3k |
| 16 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | $248 | 12% | — | $1.8k – $2.3k |
| 17 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | $248 | 12% | — | $1.8k – $2.3k |
| 18 | Avera St. Luke's Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | $432 | 16% | — | $2.3k – $3.1k |
| 20 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | $618 | 22% | — | $2.1k – $3.4k |
| 21 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 22 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $2.2k | $2.0k | $399 | 20% | — | $1.4k – $2.4k |
| 23 | Essentia Health Deer River 115 10th Ave NE Deer River, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $2.5k | $2.2k | $605 | 27% | — | $1.5k – $2.8k |
| 24 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.6k | $2.3k | $500 | 22% | — | $1.5k – $2.6k |
| 25 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.4k | $2.1k | $483 | 23% | — | $1.4k – $2.4k |
← Payers reporting HCPCS J7296 · Snapshot 20261111T120946Z-9134e7f7