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
$1.1k
High
$3.2k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
56 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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77 hospital rates
iThe hospitals that file a Regence 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 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 2 | $1.0k | $1.0k | $42 | 4% | 1–10 | $936 – $1.0k |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · percent of total billed charges · outpatientfrom % of charges | 1 | $989 | $989 | — | — | 1–10 | $989 – $989 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 2 | $2.9k | $2.9k | $11 | 0% | — | $2.8k – $2.9k |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 2 | $2.1k | $2.1k | $599 | 28% | — | $1.5k – $2.7k |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 2 | $2.1k | $2.1k | $599 | 28% | — | $1.5k – $2.7k |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $1.7k | $1.7k | $732 | 42% | — | $994 – $2.5k |
| 7 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 2 | $1.7k | $1.9k | $1.1k | 57% | — | $706 – $3.4k |
| 8 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 1 | $2.8k | $2.8k | $549 | 19% | — | $2.3k – $3.4k |
| 9 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 1 | $2.8k | $2.8k | $549 | 19% | — | $2.3k – $3.4k |
| 10 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 2 | $589 | $589 | $114 | 19% | — | $476 – $703 |
| 11 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 1 | $2.8k | $2.8k | $549 | 19% | — | $2.3k – $3.4k |
| 13 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 1 | $2.8k | $2.8k | $549 | 19% | — | $2.3k – $3.4k |
| 14 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $2.7k | $2.7k | $195 | 7% | — | $2.4k – $2.9k |
| 15 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.7k | $2.7k | $225 | 8% | — | $2.4k – $2.9k |
| 16 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 17 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $1.9k | $955 | 50% | — | $939 – $2.8k |
| 18 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $2.5k | $2.6k | $45 | 2% | — | $2.5k – $2.6k |
| 19 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.5k | $2.2k | $667 | 30% | — | $894 – $2.6k |
| 20 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · inpatientfrom % of charges | 6 | $2.7k | $2.6k | $196 | 7% | — | $2.4k – $2.9k |
| 21 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.4k | $2.5k | $292 | 12% | — | $2.1k – $2.9k |
| 22 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $2.7k | $2.7k | $177 | 7% | — | $2.4k – $2.9k |
| 23 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.7k | $2.7k | $205 | 8% | — | $2.4k – $2.9k |
| 24 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $2.7k | $2.7k | $195 | 7% | — | $2.4k – $2.9k |
| 25 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.7k | $2.7k | $225 | 8% | — | $2.4k – $2.9k |
← Payers reporting HCPCS J7301 · Snapshot 20261111T120946Z-9134e7f7