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
$0
Average
$1.2k
Median
$1.2k
High
$4.2k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 4.2× 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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56 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 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $630 | $630 | — | — | — | $630 – $630 |
| 2 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 3 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $675 | $675 | — | — | — | $675 – $675 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $81 | 6% | — | $1.2k – $1.4k |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1.3k | $1.3k | $69 | 5% | — | $1.2k – $1.4k |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $84 | 6% | — | $1.2k – $1.4k |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1.3k | $1.3k | $98 | 8% | — | $1.2k – $1.4k |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $123 | 10% | — | $1.1k – $1.4k |
| 9 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $135 | 11% | — | $1.1k – $1.4k |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1.7k | $1.7k | $87 | 5% | — | $1.6k – $1.8k |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $134 | 8% | — | $1.5k – $1.8k |
| 13 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $135 | 11% | — | $1.1k – $1.4k |
| 14 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 16 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | $48 | 2% | — | $1.9k – $2.0k |
| 17 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $1.5k | $1.5k | $46 | 3% | — | $1.5k – $1.6k |
| 23 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $844 | $844 | — | — | — | $844 – $844 |
| 25 | MEMORIAL HEALTH MEADOWS HOSPITAL Vidalia, GA fee schedule · outpatient | 1 | $834 | $834 | — | — | — | $834 – $834 |
← Payers reporting HCPCS J7297 · Snapshot 20261111T120946Z-9134e7f7