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HCPCS J7297
Levonorgestrel 20.4 mcg/24 hr (8 yrs) 52 mg Iud 1 Each BOX - as described in hospitals' own price files.
40hospitals publishing a price
$1,531median cash price
$1,354median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Penn State Health Hampden Medical Center | Enola, PA | $0.02 | $0.03 | $0.05 | $0.01 - $0.04 |
| Milton S Hershey Medical Center | Hershey, PA | $0.02 | $0.03 | $0.05 | $0.01 - $0.06 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $444 | - | $1,268 | - |
| Providence St. Joseph Medical Center | Polson, MT | $812 | - | $1,015 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $996 | - | $1,328 | - |
| Providence Seaside Hospital | Seaside, OR | $996 | - | $1,328 | - |
| Medstar Franklin Square Medical Center | Rosedale, MD | $1,103 | $1,126 | $1,126 | $1,103 - $1,126 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $1,135 | - | $2,259 | $932 - $2,259 |
| Methodist Hospital Of Sacramento | Sacramento, CA | $1,137 | - | $4,696 | $809 - $4,696 |
| Berger Hospital | Circleville, OH | $1,161 | - | $1,786 | - |
| Grady Memorial Hospital | Delaware, OH | $1,161 | - | $1,786 | - |
| Ohiohealth O'Bleness Hospital | Athens, OH | $1,161 | - | $1,786 | - |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $1,157 | $1,181 | $1,181 | $1,157 - $1,181 |
| George Washington Univ Hospital | Washington, DC | $1,547 | $1,199 | $3,867 | $950 - $2,900 |
| Northridge Hospital Medical Center | Northridge, CA | $1,218 | - | $4,532 | $787 - $4,659 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $1,342 | - | $2,259 | $932 - $2,259 |
| Medstar Montgomery Medical Center | Olney, MD | $1,327 | $1,354 | $1,354 | $1,327 - $1,354 |
| Warren General Hospital | Warren, PA | $2,673 | $1,403 | $2,673 | $936 - $2,005 |
| Healdsburg Hospital | Healdsburg, CA | $1,422 | - | $2,789 | - |
| Orange County Global Medical Center | Santa Ana, CA | $1,514 | - | $2,912 | - |
| Los Angeles General Medical Center | Los Angeles, CA | $1,514 | - | $2,912 | - |
| Lompoc Valley Medical Center | Lompoc, CA | $1,514 | - | $2,912 | - |
| San Francisco VA Medical Center | San Francisco, CA | $1,631 | - | $2,912 | - |
| San Mateo Medical Center | San Mateo, CA | $1,631 | - | $2,912 | - |
| Tri-City Medical Center | Oceanside, CA | $1,631 | - | $2,912 | - |
| Santa Clara Valley Medical Center | San Jose, CA | $1,631 | - | $2,912 | - |
| Sutter Medical Center, Sacramento | Sacramento, CA | $1,631 | - | $2,912 | - |
| Sutter Roseville Medical Center | Roseville, CA | $1,631 | - | $2,912 | - |
| Hardin Memorial Hospital | Kenton, OH | $1,727 | - | $2,657 | - |
| Mercy Hospital Of Folsom | Folsom, CA | $1,752 | - | $4,696 | $402 - $3,851 |
| Doctors Hospital | Columbus, OH | $1,790 | - | $2,754 | - |
| Dublin Methodist Hospital | Dublin, OH | $1,790 | - | $2,754 | - |
| Grant Medical Center | Columbus, OH | $1,790 | - | $2,754 | - |
| Riverside Methodist Hospital | Columbus, OH | $1,790 | - | $2,754 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $1,858 | - | $2,654 | - |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $1,944 | $1,984 | $1,984 | $1,944 - $1,984 |
| Medstar Union Memorial Hospital | Baltimore, MD | $2,103 | $2,146 | $2,146 | $2,103 - $2,146 |
| Medstar Harbor Hospital | Baltimore, MD | $2,454 | $2,504 | $2,504 | $2,454 - $2,504 |
| Medstar Good Samaritan Hospital | Baltimore, MD | $2,698 | $2,753 | $2,753 | $2,698 - $2,753 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $2,850 | - | $3,801 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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