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
$5.9k
Median
$1.8k
High
$2551.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
658 hospitals; the 90th percentile is 3.7× 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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869 hospital rates
iThe hospitals that file a Cigna 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $2.4k | $2.4k | — | — | 14 | $2.4k – $2.4k |
| 2 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $1.4k | $1.4k | $206 | 14% | 2–20 | $1.2k – $1.7k |
| 3 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $1.8k | $1.7k | $97 | 6% | 2–20 | $1.6k – $1.8k |
| 4 | UMass Memorial Health - Milford Regional Medical Center, Inc. Milford, MA percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 5 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 6 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 4 | $2.8k | $3.4k | $822 | 24% | 1–10 | $2.7k – $4.7k |
| 7 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $902 | $902 | $38 | 4% | 1–10 | $864 – $939 |
| 8 | St Luke's Nampa Medical Center, LTD Nampa, ID percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | $362 | 27% | 1–10 | $969 – $1.7k |
| 9 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 10 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 11 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · both | 1 | $950 | $950 | — | — | 1–10 | $950 – $950 |
| 12 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 3 | $867 | $867 | — | — | 1–10 | $867 – $867 |
| 13 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $950 | $950 | — | — | — | $950 – $950 |
| 15 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $906 | $906 | — | — | — | $906 – $906 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 19 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 2 | $905 | $905 | — | — | — | $905 – $905 |
| 20 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 3 | $797 | $810 | $24 | 3% | — | $790 – $843 |
| 21 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $905 | $905 | — | — | — | $905 – $905 |
| 22 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $905 | $905 | — | — | — | $905 – $905 |
| 23 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $1.3k | $1.3k | $294 | 22% | — | $1.0k – $1.7k |
| 25 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 4 | $2.5k | $2.9k | $706 | 24% | — | $2.5k – $4.1k |
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