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 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE
Utica, NY
See all hospitals reporting HCPCS J7296 →Price type
MVHS, Inc.’s median price of $4.3k is 108% above the median hospital's median price ($2.0k), higher than 92% of the 1,400 hospitals reporting HCPCS J7296. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 11 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 uhc empire plan percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 7 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 8 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 9 | Molina misc medicaid mco percent of total billed charges · bothfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 10 | UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 11 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
Last updated: Aug 7, 2026
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