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 1.5 MG PO TAB
Based on 120–1,200 billing samples across every hospital reporting.
Low
$0
Average
$36
Median
$2
High
$4.3k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 592 hospitals; the 90th percentile is 106.3× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Childrens Hospital Colorado Aurora, CO | $113 | $137 | $151 | 111% | 96–960 | $1 – $1.0k |
| 2 | Bexar County Hospital District San Antonio, TX | $19 | $36 | $51 | 141% | 24–240 | $3 – $491 |
| 3 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $1 | $1 | $0 | 22% | — | $1 – $1 |
| 4 | Beth Israel Deaconess Hospital - Needham Needham, MA | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Ingalls Memorial Hospital Harvey, IL | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Fairview Health Services Edina, MN | $2 | $20 | $28 | 136% | — | $1 – $112 |
| 7 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $1 | $1 | $0 | 14% | — | $1 – $1 |
| 8 | Hca Florida West Hospital PENSACOLA, FL | $21 | $504 | $2.6k | 525% | — | $3 – $15k |
| 9 | Mayo Regional Hospital Dover Foxcroft, ME | $1 | $2 | $1 | 57% | — | $1 – $4 |
| 10 | Kettering Medical Center Miamisburg, OH | $2 | $2 | — | — | — | $2 – $2 |
Ask Claude or any MCP client for HCPCS S4993 pricing at a specific hospital — see how to connect.