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
LEVONORGMESTREL 14 MCGM/24 HR (UP TO 3 YRS) 13.5 MGM INTRAUTERINE DEVICE
Garrison, ND
See all hospitals reporting HCPCS J7301 →Price type
Garrison Memorial Hospital’s median price of $819 is 52% below the median hospital's median price ($1.7k), higher than 6% of the 1,328 hospitals reporting HCPCS J7301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $674 | $674 | — | — | — | $674 – $674 |
| 2 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $674 | $674 | — | — | — | $674 – $674 |
| 3 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $792 | $792 | — | — | — | $792 – $792 |
| 4 | Medica commercial|all plans fee schedule · inpatient | $792 | $792 | — | — | — | $792 – $792 |
| 5 | Medica commercial|all plans fee schedule · outpatient | $792 | $792 | — | — | — | $792 – $792 |
| 6 | MultiPlan commercial|all plans fee schedule · inpatient | $819 | $819 | — | — | — | $819 – $819 |
| 7 | MultiPlan commercial|all plans fee schedule · outpatient | $819 | $819 | — | — | — | $819 – $819 |
| 8 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $865 | $865 | — | — | — | $865 – $865 |
| 9 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $865 | $865 | — | — | — | $865 – $865 |
| 10 | Blue Cross Blue Shield commercial|all plans fee schedule · outpatient | $910 | $910 | — | — | — | $910 – $910 |
| 11 | Humana medicare|all plans fee schedule · outpatient | $910 | $910 | — | — | — | $910 – $910 |
| 12 | Medica medicare|all plans fee schedule · outpatient | $910 | $910 | — | — | — | $910 – $910 |
| 13 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $910 | $910 | — | — | — | $910 – $910 |
| 14 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
Last updated: Feb 28, 2026
See Skyla hormonal intrauterine contraceptive device pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.