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
$1.6k
Median
$1.2k
High
$3.5k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 3.2× 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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30 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 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $1.7k | $908 | 52% | — | $1.0k – $3.0k |
| 2 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $1.1k | $1.5k | $616 | 41% | — | $1.1k – $2.4k |
| 4 | Gouverneur Hospital Gouverneur, NY facility · fee schedule · outpatient | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 6 | Massena Hospital Inc Massena, NY facility · fee schedule · outpatient | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 2 | $1.0k | $1.0k | $26 | 3% | — | $1.0k – $1.1k |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $1.0k | $1.0k | $26 | 3% | — | $1.0k – $1.1k |
| 9 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 2 | $970 | $970 | $41 | 4% | — | $929 – $1.0k |
| 10 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 2 | $970 | $970 | $41 | 4% | — | $929 – $1.0k |
| 11 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 12 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $1.6k | $1.6k | $539 | 33% | — | $1.1k – $2.1k |
| 14 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $1.9k | $1.9k | $877 | 45% | — | $1.1k – $2.8k |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 2 | $997 | $997 | $34 | 3% | — | $963 – $1.0k |
| 18 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 19 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · both | 2 | $1.0k | $1.0k | $26 | 3% | — | $1.0k – $1.1k |
| 20 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · inpatient | 2 | $1.0k | $1.0k | $26 | 3% | — | $1.0k – $1.1k |
| 23 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $1.0k | $1.0k | $26 | 3% | — | $1.0k – $1.1k |
| 24 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 25 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 1 | $995 | $995 | — | — | — | $995 – $995 |
← Payers reporting HCPCS J7301 · Snapshot 20261111T120946Z-9134e7f7