NDC 50419-0422-01
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 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE
Low
$420
Average
$2.6k
Median
$2.4k
High
$5.0k
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Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 15 hospitals; the 90th percentile is 10.0× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | University of North Carolina Hospitals at Chapel Hill Chapel Hill, NC | $4.5k | $4.5k | — | — | — | $1.0k – $4.5k |
| 2 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA | $468 | $468 | — | — | — | $468 – $3.5k |
| 3 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA | $420 | $420 | — | — | — | $420 – $3.5k |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL | $2.7k | $2.4k | $1.1k | 48% | — | $900 – $3.7k |
| 5 | Hoopeston Community Memorial Hospital Hoopeston, IL | $4.0k | $4.0k | — | — | — | $485 – $4.4k |
| 6 | UMass Memorial Medical Center Worcester, MA | $672 | $672 | — | — | — | $672 – $7.0k |
| 7 | Boston Medical Center Boston, MA | $513 | $513 | — | — | — | $431 – $3.1k |
| 8 | Boston Medical Center Brighton Boston, MA | $475 | $475 | — | — | — | $475 – $2.7k |
| 9 | The Queens Medical Center Honolulu, HI | $4.9k | $5.0k | $229 | 5% | — | $4.8k – $5.3k |
| 10 | The Queens Medical Center Ewa Beach, HI | $4.8k | $4.8k | $356 | 7% | — | $4.5k – $5.3k |
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