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 14MCG/24Hr Iud
Low
$1
Average
$2.2k
Median
$1.6k
High
$61.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
504 hospitals; the 90th percentile is 3.6× 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.
Filter by billing methodology
Filter by billing class
647 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | 11 | $3.4k – $3.4k |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $1.0k | $1.0k | $25 | 2% | 4–40 | $1.0k – $1.1k |
| 3 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | 2–20 | $3.5k – $3.5k |
| 4 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $3.9k | $3.9k | — | — | 2–20 | $3.9k – $3.9k |
| 5 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 6 | $1.6k | $1.5k | $312 | 21% | 2–20 | $765 – $1.8k |
| 6 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 7 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $1.7k | $1.5k | $429 | 28% | 1–10 | $583 – $1.8k |
| 8 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $5.7k | $5.6k | $289 | 5% | 1–10 | $4.6k – $5.7k |
| 9 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 10 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 2 | $1.0k | $1.0k | $27 | 3% | 1–10 | $963 – $1.0k |
| 11 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $5.7k | $5.7k | — | — | 1–10 | $5.7k – $5.7k |
| 12 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 3 | $1.5k | $1.6k | $191 | 12% | — | $1.4k – $1.8k |
| 13 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $204 | $405 | $254 | 63% | — | $196 – $716 |
| 14 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $789 | $789 | — | — | — | $789 – $789 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · inpatient | 4 | $728 | $942 | $348 | 37% | — | $607 – $1.4k |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $728 | $942 | $348 | 37% | — | $607 – $1.4k |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $780 | $772 | $11 | 1% | — | $757 – $780 |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 9 | $1.0k | $941 | $121 | 13% | — | $757 – $1.0k |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 7 | $1.2k | $1.1k | $214 | 20% | — | $757 – $1.3k |
| 21 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $3.4k | $3.4k | $86 | 3% | — | $3.3k – $3.5k |
| 22 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $3.3k | $3.0k | $547 | 18% | — | $2.2k – $3.5k |
| 23 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 24 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $3.4k | $3.4k | $86 | 3% | — | $3.3k – $3.5k |
| 25 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $3.4k | $3.4k | $86 | 3% | — | $3.3k – $3.5k |
← Payers reporting HCPCS J7301 · Snapshot 20261111T120946Z-9134e7f7