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
NORELGESTROMIN 150 MCG-E.ESTRADIOL 35 MCG/24 HR WEEKLY TRANSDERM PATCH
Low
$11
Average
$102
Median
$77
High
$569
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
275 hospitals; the 90th percentile is 4.3× 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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303 hospital rates
iThe hospitals that file a Aetna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $99 | $99 | $12 | 12% | — | $87 – $111 |
| 2 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 6 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $74 | $74 | $8 | 11% | — | $65 – $82 |
| 7 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $74 | $74 | $8 | 11% | — | $65 – $82 |
| 8 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $74 | $74 | $8 | 11% | — | $65 – $82 |
| 9 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $74 | $74 | $8 | 11% | — | $65 – $82 |
| 10 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $74 | $74 | $8 | 11% | — | $65 – $82 |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $54 | $54 | $1 | 1% | — | $53 – $54 |
| 12 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $101 | $101 | — | — | — | $101 – $101 |
| 13 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 2 | $49 | $49 | — | — | — | $49 – $49 |
| 14 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 15 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 16 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 17 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 18 | Aurora Medical Center Fond du Lac Fond Du Lac, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 19 | Aurora Medical Center Grafton Grafton, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 20 | Aurora Medical Center Kenosha Kenosha, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 21 | Aurora Medical Center Manitowoc Two Rivers, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 22 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 23 | Aurora Medical Center Oshkosh Oshkosh, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 24 | Aurora Medical Center Sheboygan County Sheboygan, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 25 | Aurora Medical Center Summit Summit, WI fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
← Payers reporting HCPCS J7304 · Snapshot 20261111T120946Z-9134e7f7