NDC 50419-0421-01
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-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (MIRENA), 52 MG
Low
$904
Average
$3.0k
Median
$2.4k
High
$10.9k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 27 hospitals; the 90th percentile is 2.6× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Castle Medical Center Kailua, HI | $1.3k | $1.5k | $289 | 19% | — | $334 – $2.3k |
| 2 | Northwest Medical Foundation Of Tillamook Tillamook, OR | $904 | $904 | — | — | — | $425 – $904 |
| 3 | Ukiah Adventist Hospital Ukiah, CA | $4.1k | $4.1k | $641 | 16% | — | $1.6k – $5.4k |
| 4 | Sonora Community Hospital Sonora, CA | $2.8k | $2.7k | $600 | 22% | — | $1.2k – $3.7k |
| 5 | Adventist Health Delano Delano, CA | $1.7k | $1.7k | $208 | 12% | — | $378 – $2.1k |
| 6 | Reedley Community Hospital Reedley, CA | $3.2k | $3.2k | $661 | 21% | — | $1.2k – $4.2k |
| 7 | Adventist Health Clearlake Hospital Inc Clearlake, CA | $3.2k | $3.0k | $875 | 29% | — | $682 – $4.2k |
| 8 | San Joaquin Community Hospital Bakersfield, CA | $4.7k | $5.6k | $4.2k | 75% | — | $1.3k – $15.7k |
| 9 | Adventist Health Mendocino Coast Bragg, CA | $3.7k | $3.9k | $3.0k | 76% | — | $885 – $9.7k |
| 10 | Lodi Memorial Hospital Association Inc Lodi, CA | $3.8k | $3.3k | $1.6k | 49% | — | $454 – $5.5k |
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