NDC 536114263
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 TABS
Low
$8
Average
$14
Median
$14
High
$20
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $28 | $20 | $10 | 47% | — | $3 – $28 |
| 2 | Allina Health Systems Shakopee, MN | $8 | $8 | $2 | 19% | — | $0 – $29 |
| 3 | Allina Health Systems Cambridge, MN | $15 | $14 | $6 | 43% | — | $0 – $29 |
| 4 | Allina Health Systems Owatonna, MN | $15 | $14 | $6 | 43% | — | $0 – $29 |
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