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
Low
$0
Average
$77
Median
$51
High
$363
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 128 hospitals; the 90th percentile is 79.1× 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 | $20 | $37 | $52 | 141% | 12–120 | $3 – $491 |
| 3 | The Finley Hospital Dubuque, IA | $1 | $1 | — | — | — | $1 – $39 |
| 4 | Northwest Iowa Hospital Corporation Sioux City, IA | $0 | $0 | — | — | — | $0 – $39 |
| 5 | Medical Ctiy Argyle Argyle, TX | $104 | $129 | $82 | 64% | — | $0 – $293 |
| 6 | Medical City Alliance SAGINAW, TX | $75 | $100 | $81 | 81% | — | $0 – $315 |
| 7 | Medical City Mckinney McKinney, TX | $79 | $99 | $62 | 63% | — | $0 – $226 |
| 8 | Medical City Las Colinas Irving, TX | $59 | $75 | $49 | 66% | — | $0 – $176 |
| 9 | Med City Heart Hospital Dallas, TX | $66 | $87 | $53 | 61% | — | $0 – $222 |
| 10 | Medical City Denton Argyle, TX | $104 | $129 | $82 | 64% | — | $0 – $293 |
Ask Claude or any MCP client for HCPCS S4993 pricing at a specific hospital — see how to connect.