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 20.1 MCG/DAY INTRAUTERINE IUD
Low
$450
Average
$2.4k
Median
$1.3k
High
$15.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 5.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Premera fee schedule · outpatient · +7 other terms | 18 | $1.8k | $1.8k | $339 | 19% | 5–50 | $977 – $2.7k |
| 2 | Medcost percent of total billed charges · outpatientfrom % of charges · +6 other terms | 23 | $2.3k | $2.8k | $1.3k | 45% | 4–40 | $1.2k – $6.2k |
| 3 | Cigna fee schedule · outpatient · +20 other terms | 232 | $1.8k | $2.8k | $1.9k | 68% | 3–30 | $9 – $8.1k |
| 4 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 458 | $1.9k | $1.8k | $1.1k | 59% | 2–20 | $1 – $18.5k |
| 5 | Wellmark fee schedule · outpatient · +12 other terms | 17 | $932 | $926 | $14 | 2% | 2–20 | $887 – $932 |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 242 | $1.7k | $2.0k | $1.2k | 59% | 1–10 | $0 – $5.8k |
| 7 | Aetna fee schedule · outpatient · +23 other terms | 179 | $1.8k | $1.9k | $1.2k | 61% | — | $1 – $12.0k |
| 8 | Humana fee schedule · outpatient · +20 other terms | 93 | $1.8k | $3.3k | $2.3k | 68% | — | $1 – $6.8k |
| 9 | Anthem fee schedule · outpatient · +19 other terms | 65 | $1.1k | $1.4k | $1.0k | 71% | — | $6 – $7.4k |
| 10 | MultiPlan fee schedule · inpatient · +17 other terms | 47 | $2.3k | $2.9k | $1.7k | 60% | — | $18 – $7.3k |
| 11 | Molina facility · case rate · outpatient · +24 other terms | 39 | $351 | $482 | $217 | 45% | — | $288 – $1.1k |
| 12 | Medica fee schedule · outpatient · +11 other terms | 31 | $1.7k | $1.6k | $633 | 41% | — | $3 – $2.3k |
| 13 | Bcbs Tx fee schedule · outpatient · +3 other terms | 30 | $3.2k | $2.9k | $984 | 33% | — | $1.2k – $5.1k |
| 14 | Caresource fee schedule · outpatient · +13 other terms | 26 | $978 | $966 | $150 | 15% | — | $1 – $1.1k |
| 15 | Aetna Better Health fee schedule · outpatient · +14 other terms | 22 | $923 | $877 | $179 | 20% | — | $400 – $1.0k |
| 16 | First Health fee schedule · outpatient · +16 other terms | 18 | $2.7k | $2.7k | $1.7k | 63% | — | $15 – $6.3k |
| 17 | Highmark fee schedule · outpatient · +11 other terms | 18 | $1.0k | $915 | $346 | 38% | — | $9 – $1.4k |
| 18 | Kaiser fee schedule · outpatient · +13 other terms | 18 | $1.9k | $2.0k | $1.3k | 66% | — | $14 – $5.2k |
| 19 | Medicaid fee schedule · both · +11 other terms | 18 | $856 | $1.3k | $733 | 56% | — | $295 – $1.9k |
| 20 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms | 17 | $3.4k | $2.8k | $1.7k | 61% | — | $3 – $6.3k |
| 21 | Regence fee schedule · outpatient · +9 other terms | 17 | $1.1k | $1.4k | $854 | 60% | — | $931 – $3.2k |
| 22 | Bcbs La fee schedule · outpatient · +1 other terms | 16 | $958 | $950 | $21 | 2% | — | $913 – $1.0k |
| 23 | Phcs fee schedule · inpatient · +11 other terms | 16 | $2.3k | $3.5k | $1.4k | 40% | — | $1.7k – $4.7k |
| 24 | Optum facility · case rate · outpatient · +14 other terms | 13 | $595 | $618 | $203 | 33% | — | $273 – $1.0k |
| 25 | WellCare fee schedule · both · +11 other terms | 13 | $310 | $193 | $149 | 77% | — | $0 – $320 |
← Hospitals reporting HCPCS J7297 · Snapshot 20261111T120946Z-9134e7f7