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 (SKYLA) 14 MCG/24 HRS (3 YRS) 13.5
Madras, OR
See all hospitals reporting HCPCS J7301 →Price type
St. Charles Madras’s median price of $1.1k is 36% below the median hospital's median price ($1.7k), higher than 26% 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: 12 payers, 19 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 | Kaiser oregon medicaid cco percent of total billed charges · outpatientfrom % of charges | $250 | $250 | — | — | — | $250 – $250 |
| 2 | Kaiser oregon medicaid cco percent of total billed charges · bothfrom % of charges | $579 | $579 | — | — | — | $579 – $579 |
| 3 | Aetna medicare percent of total billed charges · bothfrom % of charges | $622 | $622 | $283 | 45% | — | $339 – $904 |
| 4 | Cigna medicare percent of total billed charges · bothfrom % of charges | $622 | $622 | $283 | 45% | — | $339 – $904 |
| 5 | Devoted medicare percent of total billed charges · bothfrom % of charges | $622 | $622 | $283 | 45% | — | $339 – $904 |
| 6 | Humana medicare percent of total billed charges · bothfrom % of charges | $622 | $622 | $283 | 45% | — | $339 – $904 |
| 7 | Kaiser medicare percent of total billed charges · bothfrom % of charges | $622 | $622 | $283 | 45% | — | $339 – $904 |
| 8 | Medicare medicare percent of total billed charges · bothfrom % of charges | $622 | $622 | $283 | 45% | — | $339 – $904 |
| 9 | UnitedHealthcare medicare percent of total billed charges · bothfrom % of charges | $622 | $622 | $283 | 45% | — | $339 – $904 |
| 10 | WellCare medicare percent of total billed charges · bothfrom % of charges | $622 | $622 | $283 | 45% | — | $339 – $904 |
| 11 | Blue Cross Blue Shield blue cross medicare percent of total billed charges · bothfrom % of charges | $684 | $684 | $311 | 45% | — | $373 – $995 |
| 12 | Tricare tricare percent of total billed charges · bothfrom % of charges | $808 | $808 | $368 | 45% | — | $441 – $1.2k |
| 13 | Blue Cross Blue Shield blue cross individual fee schedule · both | $982 | $982 | — | — | — | $982 – $982 |
| 14 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $982 | $982 | — | — | — | $982 – $982 |
| 15 | Regence blue cross ppo fee schedule · both | $982 | $982 | — | — | — | $982 – $982 |
| 16 | Cigna cigna percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | $742 | 45% | — | $890 – $2.4k |
| 17 | Kaiser first choice health network percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | $1.0k | 45% | — | $1.2k – $3.3k |
| 18 | Aetna aetna percent of total billed charges · bothfrom % of charges | $2.3k | $2.3k | $1.0k | 45% | — | $1.2k – $3.3k |
| 19 | First Health first health percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | $1.2k | 45% | — | $1.4k – $3.7k |
Last updated: Apr 1, 2026
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