HCPCS J7294
Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each
Current code25 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $3,457 – $14,715 | — | — |
| Deaconess Medical Center | $3,457 – $6,419 | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | $3,066 – $11,038 | — | — |
| Legacy Salmon Creek Medical Center | $6,535 | — | — |
| Mary Bridge Children's Hospital | $186 – $19,060 | — | — |
| MultiCare Auburn Medical Center | $3,457 – $17,801 | — | — |
| MultiCare Covington Medical Center | $3,457 – $17,801 | — | — |
| MultiCare Good Samaritan Hospital | $3,457 – $17,801 | — | — |
| MultiCare Valley Hospital | $3,457 – $6,419 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $4,592 – $7,041 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,536 – $4,938 | — | — |
| Providence Centralia Hospital | $6,222 – $11,038 | — | — |
| Providence Holy Family Hospital | $2,536 – $4,938 | — | — |
| Providence Regional Medical Center Everett | $2,536 – $4,938 | — | — |
| Providence St Mary Medical Center | $4,938 | — | — |
| Providence St Peter Hospital | $5,135 | — | — |
| Swedish Edmonds Hospital | $2,536 | — | — |
| Swedish Issaquah | $2,536 | — | — |
| Swedish Medical Center | $2,536 | — | — |
| Swedish Medical Center / Cherry Hill | $2,536 | — | — |
| Tacoma General Allenmore Hospital | $3,457 – $17,801 | — | — |
| Virginia Mason Medical Center | $7,358 – $8,758 | — | — |
| Yakima Valley Memorial | $4,288 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.