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
NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET [10749]
Elyria, OH
See all hospitals reporting HCPCS S4993 →Price type
University Hospitals Health System’s median price of $30 is 1729% above the median hospital's median price ($2), higher than 83% of the 603 hospitals reporting HCPCS S4993. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $16 | $34 | $42 | 122% | — | $3 – $151 |
| 2 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $17 | $37 | $46 | 122% | — | $4 – $164 |
| 3 | Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges | $18 | $38 | $46 | 122% | — | $4 – $166 |
| 4 | Medical Mutual supermed hmo facility · percent of total billed charges · outpatientfrom % of charges | $18 | $38 | $47 | 122% | — | $4 – $168 |
| 5 | Medical Mutual nas commercial facility · percent of total billed charges · outpatientfrom % of charges | $20 | $42 | $51 | 122% | — | $4 – $185 |
| 6 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $22 | $48 | $58 | 122% | — | $5 – $210 |
| 7 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $22 | $48 | $58 | 122% | — | $5 – $210 |
| 8 | Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $24 | $51 | $63 | 122% | — | $5 – $226 |
| 9 | UnitedHealthcare nexus commercial facility · percent of total billed charges · outpatientfrom % of charges | $26 | $56 | $69 | 122% | — | $6 – $246 |
| 10 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $27 | $58 | $71 | 122% | — | $6 – $254 |
| 11 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $27 | $58 | $71 | 122% | — | $6 – $254 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $29 | $62 | $76 | 122% | — | $6 – $274 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $32 | $69 | $85 | 122% | — | $7 – $305 |
| 14 | Medical Mutual hmo facility · percent of total billed charges · inpatientfrom % of charges | $34 | $73 | $89 | 122% | — | $7 – $320 |
| 15 | Medical Mutual hmo facility · percent of total billed charges · outpatientfrom % of charges | $34 | $73 | $89 | 122% | — | $7 – $320 |
| 16 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $40 | $86 | $106 | 122% | — | $8 – $379 |
| 17 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $40 | $86 | $106 | 122% | — | $8 – $379 |
| 18 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $44 | $93 | $114 | 122% | — | $9 – $411 |
| 19 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $44 | $93 | $114 | 122% | — | $9 – $411 |
Last updated: Jul 14, 2026
See Norethindrone and ethinyl estradiol oral tablet pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.