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
PR Levonorgestrel-Releasing Intrauterine Contraceptive Sys Kyleena 19.5 Mg
Troy, NY
See all hospitals reporting HCPCS J7296 →Price type
Samaritan Hospital’s median price of $7.6k is 273% above the median hospital's median price ($2.0k), higher than 98% 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: 34 payers, 35 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 | Humana tricare professional · percent of total billed charges · inpatientfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 2 | Tricare tricare professional · percent of total billed charges · inpatientfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 3 | Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 4 | Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 5 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 6 | Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 7 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 8 | Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 9 | Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 10 | Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 11 | Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 12 | Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 13 | Excellus pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 14 | First Health pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 15 | Highmark pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 16 | Humana pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 17 | Kaiser pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 18 | Magellan pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 19 | Medcost pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 20 | Medica pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 21 | Medicaid pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 22 | Medical Mutual pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 23 | Medicare pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 24 | Molina pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 25 | MultiPlan pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
Last updated: Mar 31, 2026
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