NDC 59365-5128-01
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
Copper 380 square mm Iud 1 Each PACKET
Reported by 50 hospitals in the network under the other methodology.
Based on 19–190 billing samples across every hospital reporting.
Low
$64
Average
$1.6k
Median
$917
High
$6.2k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 50 hospitals; the 90th percentile is 5.3× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Samaritan Medical Center | Watertown, NY | $1.5k | $1.5k | — | 8–80 | $1.4k | $1.9k |
| 2 | Tufts Medical Center | BOSTON, MA | $4.1k | $4.1k | — | 3–30 | $885 | $4.5k |
| 3 | St. Lukes Hospital of Kansas City | City, KS | $2.3k | $2.2k | $203 | 2–20 | $358 | $3.3k |
| 4 | Berkshire Medical Center | Pittsfield, MA | $774 | $720 | $487 | 2–20 | $124 | $2.5k |
| 5 | The Charlotte Mecklenburg Hospital Authority | Charlotte, NC | $1.8k | $1.8k | — | 1–10 | $369 | $3.4k |
| 6 | Bexar County Hospital District | San Antonio, TX | $537 | $537 | — | 1–10 | $537 | $10.3k |
| 7 | Denver Health and Hospital Authority | Denver, CO | $1.1k | $1.1k | — | 1–10 | $1.1k | $5.4k |
| 8 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital | Vernon, WA | $62 | $64 | $7 | 1–10 | $57 | $2.6k |
| 9 | Kaiser Foundation Hospital - Roseville | ROSEVILLE, CA | $471 | $578 | $151 | — | $471 | $791 |
| 10 | Kaiser Foundation Hospital - Santa Clara | SANTA CLARA, CA | $471 | $578 | $151 | — | $471 | $791 |
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