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
$184
Median
$128
High
$511
Each hospital's average Humana rate, under the methodology and billing class chosen below.
128 hospitals; the 90th percentile is 10.4× 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.
Filter by billing methodology
Filter by billing class
136 hospital rates
iThe hospitals that file a Humana 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 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 3 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 4 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 5 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 6 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 7 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 8 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 9 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 10 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 11 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 12 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 14 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 15 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 16 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 17 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 18 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 19 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 20 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 2 | $60 | $60 | — | — | — | $60 – $60 |
| 21 | Children's Hospital San Antonio, TX fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 22 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 2 | $178 | $178 | $12 | 7% | — | $166 – $191 |
| 23 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $178 | $178 | $12 | 7% | — | $166 – $191 |
| 24 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 25 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
← Payers reporting HCPCS J7304 · Snapshot 20261111T120946Z-9134e7f7