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
Phoenix, AZ
See all hospitals reporting HCPCS J7301 →Price type
Mayo Clinic Arizona’s median price of $1.6k is 3% below the median hospital's median price ($1.7k), higher than 49% 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: 17 payers, 46 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 | Medica az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Optum az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | UnitedHealthcare az uhc gap exception [1376] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | UnitedHealthcare az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 5 | Cigna az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | Cigna az cigna gap exception [1383] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Healthpartners az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Humana az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Medcost az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Medical Mutual az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | Oscar az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Aetna az aetna [26] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Anthem az bcbs [124] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Blue Cross Blue Shield az bcbs [124] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Blue Cross Blue Shield az federal retiree [1020] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Blue Cross Blue Shield az tx bcbs [875] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Cigna az tx cigna [838] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Healthpartners az cc complex care [768] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Kaiser az fl transplant [694] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Medical Mutual az aetna [26] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Aetna az geha aetna federal retiree [1021] facility · percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Humana az by plan [32] facility · percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Aetna az transplant [28] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | First Health az aetna asa [1119] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Humana az transplant [28] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Aug 14, 2026
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