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
$20
Average
$210
Median
$126
High
$441
Each hospital's average Optum rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 8.0× 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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29 hospital rates
iThe hospitals that file a Optum 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 | Boston Children's Hospital Boston, MA case rate · both | 1 | $10 | $10 | — | — | 110 | $10 – $10 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $472 | $441 | $51 | 12% | — | $369 – $483 |
| 5 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 3 | $472 | $441 | $51 | 12% | — | $369 – $483 |
| 6 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 3 | $472 | $441 | $51 | 12% | — | $369 – $483 |
| 7 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 3 | $472 | $441 | $51 | 12% | — | $369 – $483 |
| 8 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $472 | $441 | $51 | 12% | — | $369 – $483 |
| 9 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 3 | $472 | $441 | $51 | 12% | — | $369 – $483 |
| 10 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 3 | $472 | $441 | $51 | 12% | — | $369 – $483 |
| 11 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 3 | $472 | $441 | $51 | 12% | — | $369 – $483 |
| 12 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 3 | $472 | $441 | $51 | 12% | — | $369 – $483 |
| 13 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 17 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 18 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 19 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 20 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $156 | $5 | 3% | — | $152 – $163 |
| 21 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 22 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 23 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 24 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 25 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
← Payers reporting HCPCS J7304 · Snapshot 20261111T120946Z-9134e7f7