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
$1.1k
Median
$871
High
$4.3k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
55 hospitals; the 90th percentile is 26.4× 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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64 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $932 | $932 | — | — | — | $932 – $932 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $867 | $867 | $157 | 18% | — | $710 – $1.0k |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $701 | $701 | $127 | 18% | — | $574 – $829 |
| 6 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $320 | $320 | $15 | 5% | — | $305 – $335 |
| 7 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $320 | $320 | $15 | 5% | — | $305 – $335 |
| 8 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $871 | $871 | — | — | — | $871 – $871 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 10 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $310 | $310 | $15 | 5% | — | $295 – $325 |
| 11 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $310 | $310 | $15 | 5% | — | $295 – $325 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $953 | $953 | — | — | — | $953 – $953 |
| 19 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 20 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 21 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $310 | $310 | $15 | 5% | — | $295 – $325 |
| 22 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $841 | $841 | — | — | — | $841 – $841 |
| 23 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $797 | $797 | — | — | — | $797 – $797 |
| 24 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 25 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
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