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
COPPER 380 SQUARE MM INTRAUTERINE DEVICE
Low
$91
Average
$1.6k
Median
$1.2k
High
$3.4k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 2.3× 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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40 hospital rates
iThe hospitals that file a Excellus 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 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $1.5k | $1.5k | — | — | 4–40 | $1.5k – $1.5k |
| 2 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 2 | $1.5k | $1.5k | — | — | 4–40 | $1.5k – $1.5k |
| 3 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 5 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 6 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.3k | $1.9k | $966 | 52% | — | $1.1k – $3.2k |
| 7 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $1.2k | $1.7k | $736 | 43% | — | $1.2k – $2.8k |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $1.1k | $1.1k | $20 | 2% | — | $1.1k – $1.1k |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $1.1k | $1.1k | $20 | 2% | — | $1.1k – $1.1k |
| 11 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 12 | Gouverneur Hospital Gouverneur, NY facility · fee schedule · outpatient | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 3 | $4.0k | $3.3k | $1.3k | 39% | — | $1.8k – $4.7k |
| 14 | Massena Hospital Inc Massena, NY facility · fee schedule · outpatient | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 2 | $1.2k | $1.2k | $6 | 0% | — | $1.2k – $1.2k |
| 16 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $1.2k | $1.2k | $6 | 0% | — | $1.2k – $1.2k |
| 17 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · both | 2 | $1.2k | $1.2k | $6 | 0% | — | $1.2k – $1.2k |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 2 | $1.1k | $1.1k | $20 | 2% | — | $1.1k – $1.1k |
| 19 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 2 | $1.1k | $1.1k | $20 | 2% | — | $1.1k – $1.1k |
| 20 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both | 2 | $1.1k | $1.1k | $20 | 2% | — | $1.1k – $1.1k |
| 22 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $1.8k | $1.8k | $648 | 35% | — | $1.2k – $2.5k |
| 25 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $2.2k | $2.2k | $1.0k | 47% | — | $1.2k – $3.3k |
← Payers reporting HCPCS J7300 · Snapshot 20261111T120946Z-9134e7f7