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-releasing intrauterine contraceptive system, 52 mg
Low
$613
Average
$1.3k
Median
$1.1k
High
$3.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 16 | $1.2k | $1.6k | $693 | 44% | — | $936 – $3.2k |
| 2 | Anthem case rate · outpatient · +4 other terms | 13 | $770 | $770 | — | — | — | $770 – $770 |
| 3 | First Health professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 6 | $715 | $715 | $102 | 14% | — | $613 – $920 |
| 4 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 6 | $587 | $586 | $82 | 14% | — | $482 – $736 |
| 5 | Highmark facility · fee schedule · outpatient | 3 | $675 | $688 | $28 | 4% | — | $675 – $750 |
| 6 | Aetna fee schedule · outpatient · +6 other terms | 2 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 7 | Ambetter professional · percent of total billed charges · bothfrom % of charges | 2 | $613 | $613 | — | — | — | $613 – $613 |
| 8 | Caresource facility · per diem · inpatient · +1 other terms | 2 | $3.9k | $3.9k | $501 | 13% | — | $3.4k – $4.4k |
| 9 | Cigna facility · fee schedule · outpatient · +7 other terms | 2 | $780 | $794 | $125 | 16% | — | $708 – $1.0k |
| 10 | Kaiser fee schedule · both · +2 other terms | 2 | $640 | $640 | — | — | — | $640 – $640 |
| 11 | Phcs professional · percent of total billed charges · bothfrom % of charges | 2 | $613 | $613 | — | — | — | $613 – $613 |
| 12 | UnitedHealthcare facility · per diem · inpatient · +4 other terms | 2 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 13 | WellCare facility · per diem · inpatient | 2 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 14 | Humana fee schedule · outpatient · +3 other terms | 1 | $813 | $813 | $127 | 16% | — | $686 – $939 |
| 15 | Molina facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
← Hospitals reporting HCPCS J7302 · Snapshot 20261113T090226Z-3ce6c0b8