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
$0
Average
$3.9k
Median
$3.4k
High
$12.4k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
354 hospitals; the 90th percentile is 4.9× 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.
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561 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | $592 | 18% | — | $2.6k – $3.8k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | $764 | 33% | — | $1.6k – $3.1k |
| 7 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 8 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 9 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 10 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $3.0k | $3.0k | $366 | 12% | — | $2.6k – $3.4k |
| 11 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | $366 | 12% | — | $2.6k – $3.4k |
| 12 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 13 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 14 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 15 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 16 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 17 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 18 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 19 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 20 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 21 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 22 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 2 | $3.0k | $3.0k | $109 | 4% | — | $2.8k – $3.1k |
| 24 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $3.0k | $3.0k | $109 | 4% | — | $2.8k – $3.1k |
| 25 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $3.5k | $3.6k | $34 | 1% | — | $3.5k – $3.6k |
← Payers reporting HCPCS J7296 · Snapshot 20261111T120946Z-9134e7f7